David L Groteluschen in Green Bay - Medical Oncology
David L Groteluschen - NPI 1679538011
David L Groteluschen is a Medical Oncology in Green Bay, Wisconsin. David L Groteluschen practices all healthcare services and medical treatments related to Medical Oncology. The NPI Number for David L Groteluschen is 1679538011. The last update date is 2021-12-20.
David L Groteluschen's current location address is 1726 Shawano Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9208843135 and fax number 9208843144. The mailing address for David L Groteluschen is 1726 Shawano Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David L Groteluschen |
|---|---|
| Address | 1726 Shawano Ave, Green Bay, Wisconsin |
| Phone Number | 9208843135 |
| Fax Number | 9208843144 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679538011 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2021-12-20 |
Provider Mailing Address Detail
| Address | 1726 Shawano Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543033216 |
| Phone Number | 9208843135 |
| Fax Number | 9208843144 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Oncology |
|---|---|
| Taxonomy | 207Rx0202X |
| Licence No | 44953 |
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Definition: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34871500 | WI | -- | |
| 104894036 | MI | -- | |
| DG088696 | MI | MICHIGAN BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to David L Groteluschen by the Centers for Medicare & Medicaid Services (CMS)?
The David L Groteluschen has been assigned the NPI (National Provider Identifier) 1679538011. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of David L Groteluschen?
The David L Groteluschen is physically situated at 1726 Shawano Ave, in the city of Green Bay, state of WI, with the postal code 543033216.
What is David L Groteluschen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David L Groteluschen is Medical Oncology, and the taxonomy code that classifies this field of practice is 207Rx0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679538011 to David L Groteluschen?
The David L Groteluschen received its 1679538011 assignment from the Centers for Medicare & Medicaid Services on 2006-04-19.
When was the information regarding David L Groteluschen most recently updated?
The details pertaining to the David L Groteluschen, including its address, specialty, and other relevant information, were last refreshed on 2021-12-20.