Ob-Gyn Assoc Of Green Bay Ltd in Menasha - Critical Care Medicine
Ob-Gyn Assoc Of Green Bay Ltd - NPI 1154400034
Ob-Gyn Assoc Of Green Bay Ltd is a Critical Care Medicine in Menasha, Wisconsin. Ob-Gyn Assoc Of Green Bay Ltd practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Ob-Gyn Assoc Of Green Bay Ltd is 1154400034. The last update date is 2008-07-01.
Ob-Gyn Assoc Of Green Bay Ltd's current location address is 1350 Wittmann Drive, Menasha, Wisconsin. You can contact this provider via phone number 9208866565 and fax number 9208866570. The mailing address for Ob-Gyn Assoc Of Green Bay Ltd is 1350 Wittmann Drive, Menasha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ob-Gyn Assoc Of Green Bay Ltd |
|---|---|
| Address | 1350 Wittmann Drive, Menasha, Wisconsin |
| Phone Number | 9208866565 |
| Fax Number | 9208866570 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER OPER |
|---|---|
| Authorized Official Name | Demott Knox Robert |
| Credentials | MD |
| Telephone Number | 9204683443 |
NPI Number Detail
| NPI Number | 1154400034 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 1350 Wittmann Drive |
|---|---|
| City | Menasha |
| State | Wisconsin (WI) |
| Post Code | 549523809 |
| Phone Number | 9208866565 |
| Fax Number | 9208866570 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Vc0200X |
|
Definition: An obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also fac |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32400300 | WI | -- | |
| 41963900 | WI | -- | |
| 30661000 | WI | -- | |
| 30984300 | WI | -- | |
| 41964300 | WI | -- | |
| 43977500 | WI | -- | |
| 1174547244 | KIM SHEFCHIK PAC NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ob-Gyn Assoc Of Green Bay Ltd by the Centers for Medicare & Medicaid Services?
The Ob-Gyn Assoc Of Green Bay Ltd has been assigned the NPI (National Provider Identifier) 1154400034 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Ob-Gyn Assoc Of Green Bay Ltd located?
The Ob-Gyn Assoc Of Green Bay Ltd is located at 1350 Wittmann Drive, Menasha, WI 549523809.
What is the Ob-Gyn Assoc Of Green Bay Ltd's specialty and taxonomy code?
The Ob-Gyn Assoc Of Green Bay Ltd's specialty is Critical Care Medicine, and the corresponding taxonomy code is 207Vc0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154400034 to Ob-Gyn Assoc Of Green Bay Ltd?
The Ob-Gyn Assoc Of Green Bay Ltd received its 1154400034 assignment from the Centers for Medicare & Medicaid Services on 2006-11-03.
As of what date was the information pertaining to Ob-Gyn Assoc Of Green Bay Ltd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ob-Gyn Assoc Of Green Bay Ltd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-01.
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