Rene Martin Earles in Green Bay - Dermatology
Rene Martin Earles - NPI 1609946292
Rene Martin Earles is a Dermatology in Green Bay, Wisconsin. Rene Martin Earles practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Rene Martin Earles is 1609946292. The last update date is 2015-12-21.
Rene Martin Earles's current location address is 2221 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9209650345 and fax number 9202736011. The mailing address for Rene Martin Earles is 2221 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rene Martin Earles |
|---|---|
| Address | 2221 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9209650345 |
| Fax Number | 9202736011 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609946292 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2015-12-21 |
Provider Mailing Address Detail
| Address | 2221 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543012158 |
| Phone Number | 9209650345 |
| Fax Number | 9202736011 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 36044864 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21606246 | IL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Rene Martin Earles by the Centers for Medicare & Medicaid Services (CMS)?
The Rene Martin Earles has been assigned the NPI (National Provider Identifier) 1609946292. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Rene Martin Earles's facilities are geographically located?
The facilities of Rene Martin Earles are physically situated at the following location: 2221 S Webster Ave, Green Bay, WI, 543012158.
What is Rene Martin Earles's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rene Martin Earles's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date was the 1609946292 assigned to Rene Martin Earles?
The Rene Martin Earles was issued its 1609946292 on 2006-11-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Rene Martin Earles most recently updated or revised?
The information pertaining to Rene Martin Earles, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-21.
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