Michael Victor Porembski in Green Bay - Pediatrics

Michael Victor Porembski - NPI 1275566408

Michael Victor Porembski is a Pediatrics in Green Bay, Wisconsin. Michael Victor Porembski practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Michael Victor Porembski is 1275566408. The last update date is 2008-07-30.

Michael Victor Porembski's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700 and fax number 9204361319. The mailing address for Michael Victor Porembski is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Victor Porembski
Address Po Box 19070, Green Bay, Wisconsin
Phone Number 9204964700
Fax Number 9204361319
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1275566408
Provider Enumeration Date 2006-07-09
Last Updated Date 2008-07-30

Provider Mailing Address Detail

Address Po Box 19070
City Green Bay
State Wisconsin (WI)
Post Code 543079070
Phone Number 9204964700
Fax Number 9204361319

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 22030
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30221600 WI --

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FAQs about Michael Victor Porembski

What is the unique identifier code issued to Michael Victor Porembski by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Victor Porembski has been assigned the NPI (National Provider Identifier) 1275566408. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Michael Victor Porembski's facilities are situated?

The facilities of Michael Victor Porembski are physically located at the following address: Po Box 19070, Green Bay, WI, 543079070.

What is Michael Victor Porembski's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Michael Victor Porembski's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1275566408 to Michael Victor Porembski?

The Centers for Medicare & Medicaid Services originally issued the 1275566408 to Michael Victor Porembski on 2006-07-09.

As of what date were the details related to Michael Victor Porembski most recently updated or revised?

The information pertaining to Michael Victor Porembski, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-30.

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