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Dr. Kevin L Mortara, MD
Hematology & Oncology Physician in Green Bay, Wisconsin
NPI 1033109210

Kevin L Mortara is a Hematology & Oncology Physician based in Green Bay, WI and is specialized in Hematology & Oncology. Kevin L Mortara practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Kevin L Mortara is 1033109210 and holds a License No. 48997-20 (Wisconsin).

The current practice location address for Kevin L Mortara is 1580 Commanche Ave, Green Bay, WI and can be reached out via phone at 920-435-8326 and via fax at 920-430-4659.

Location: 1580 Commanche Ave, Green Bay, WI, 54313-5751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033109210
Provider Name
Kevin L Mortara
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1580 Commanche Ave, Green Bay, WI, 54313-5751
Phone Number
920-435-8326
Fax Number
920-430-4659
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1580 Commanche Ave
City
Green Bay
State
Wisconsin
Zip
54313-5751
Phone Number
920-435-8326
Fax Number
920-430-4659
person
Provider Business Mailing Address Details
Address
1580 Commanche Ave
City
Green Bay
State
Wisconsin
Zip
54313-5751
Phone Number
920-435-8326
Fax Number
920-430-4659
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
48997-20 (Wisconsin)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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