Dianna L Bordewick in Green Bay - Ophthalmology
Dianna L Bordewick - NPI 1790720100
Dianna L Bordewick is a Ophthalmology in Green Bay, Wisconsin. Dianna L Bordewick practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Dianna L Bordewick is 1790720100. The last update date is 2008-08-28.
Dianna L Bordewick's current location address is 2253 W Mason St Ste 100, Green Bay, Wisconsin. You can contact this provider via phone number 9203277000 and fax number 9203277005. The mailing address for Dianna L Bordewick is 2253 W Mason St Ste 100, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dianna L Bordewick |
|---|---|
| Address | 2253 W Mason St Ste 100, Green Bay, Wisconsin |
| Phone Number | 9203277000 |
| Fax Number | 9203277005 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790720100 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2008-08-28 |
Provider Mailing Address Detail
| Address | 2253 W Mason St Ste 100 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543073097 |
| Phone Number | 9203277000 |
| Fax Number | 9203277005 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 41090 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32562600 | WI | -- | |
| 180043984 | WI | RAILROAD | |
| 104390165 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dianna L Bordewick by the Centers for Medicare & Medicaid Services?
The Dianna L Bordewick has been assigned the NPI (National Provider Identifier) 1790720100. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Dianna L Bordewick is physically located?
The Dianna L Bordewick is situated at the following address: 2253 W Mason St Ste 100, Green Bay, WI 543073097.
What is Dianna L Bordewick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dianna L Bordewick's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date was the 1790720100 assigned to Dianna L Bordewick?
The Dianna L Bordewick was issued its 1790720100 on 2006-06-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Dianna L Bordewick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dianna L Bordewick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-28.