Brett C Richardson in Green Bay - Diagnostic Radiology

Brett C Richardson - NPI 1871799395

Brett C Richardson is a Diagnostic Radiology in Green Bay, Wisconsin. Brett C Richardson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Brett C Richardson is 1871799395. The last update date is 2021-08-25.

Brett C Richardson's current location address is 1789 Shawano Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204991428 and fax number 5159610453. The mailing address for Brett C Richardson is 1789 Shawano Ave, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Brett C Richardson
Address 1789 Shawano Ave, Green Bay, Wisconsin
Phone Number 9204991428
Fax Number 5159610453
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1871799395
Provider Enumeration Date 2007-06-22
Last Updated Date 2021-08-25

Provider Mailing Address Detail

Address 1789 Shawano Ave
City Green Bay
State Wisconsin (WI)
Post Code 543033243
Phone Number 9204991428
Fax Number 5159610453

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 72382
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Brett C Richardson

What is the Brett C Richardson's 1871799395?

The Brett C Richardson's NPI (National Provider Identifier) Number is 1871799395. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Brett C Richardson?

The Brett C Richardson is situated at 1789 Shawano Ave, in the city of Green Bay, state of WI, with the zip code 543033243.

What is Brett C Richardson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Brett C Richardson is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1871799395 to Brett C Richardson?

The Centers for Medicare & Medicaid Services assigned the 1871799395 to Brett C Richardson on 2007-06-22.

As of what date was the information pertaining to Brett C Richardson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Brett C Richardson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-08-25.

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