William Robert Conrad in Green Bay - Medical
William Robert Conrad - NPI 1801898564
William Robert Conrad is a Medical in Green Bay, Wisconsin. William Robert Conrad practices all healthcare services and medical treatments related to Medical. The NPI Number for William Robert Conrad is 1801898564. The last update date is 2007-07-08.
William Robert Conrad's current location address is 720 S Van Buren St, Green Bay, Wisconsin. You can contact this provider via phone number 9204339400 and fax number 9204339409. The mailing address for William Robert Conrad is 720 S Van Buren St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Robert Conrad |
|---|---|
| Address | 720 S Van Buren St, Green Bay, Wisconsin |
| Phone Number | 9204339400 |
| Fax Number | 9204339409 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1801898564 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 720 S Van Buren St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543013538 |
| Phone Number | 9204339400 |
| Fax Number | 9204339409 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1794-023 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41994800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to William Robert Conrad by the Centers for Medicare & Medicaid Services?
The William Robert Conrad has been issued the NPI (National Provider Identifier) 1801898564, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the William Robert Conrad located?
The William Robert Conrad is located at 720 S Van Buren St, Green Bay, WI 543013538.
What is the area of specialization for William Robert Conrad, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for William Robert Conrad is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801898564 to William Robert Conrad?
The William Robert Conrad received its 1801898564 assignment from the Centers for Medicare & Medicaid Services on 2005-08-12.
When was the information pertaining to William Robert Conrad most recently updated or revised?
The details related to William Robert Conrad, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX