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Dr. William J. Mallory, MD
Diagnostic Radiology Physician in Green Bay, Wisconsin
NPI 1083630776

William J. Mallory is a Diagnostic Radiology Physician based in Green Bay, WI and is specialized in Diagnostic Radiology. William J. Mallory practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for William J. Mallory is 1083630776 and holds a License No. 22719-020 (Wisconsin).

The current practice location address for William J. Mallory is 2941 S Ridge Rd, Green Bay, WI and can be reached out via phone at 920-336-4096 and via fax at 920-336-8093.

Location: 2941 S Ridge Rd, Green Bay, WI, 54304-5517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083630776
Provider Name
William J. Mallory
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2941 S Ridge Rd, Green Bay, WI, 54304-5517
Phone Number
920-336-4096
Fax Number
920-336-8093
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31370200 05 WI
institution
Provider Business Practice Location Address Details
Address
2941 S Ridge Rd
City
Green Bay
State
Wisconsin
Zip
54304-5517
Phone Number
920-336-4096
Fax Number
920-336-8093
person
Provider Business Mailing Address Details
Address
2941 S Ridge Rd
City
Green Bay
State
Wisconsin
Zip
54304-5517
Phone Number
920-336-4096
Fax Number
920-336-8093
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
22719-020 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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