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Gbr Sheboygan Llc
Vascular & Interventional Radiology Physician in Sheboygan, Wisconsin
NPI 1467529917

Gbr Sheboygan Llc is a Vascular & Interventional Radiology Physician based in Green Bay, WI and is specialized in Vascular & Interventional Radiology. Gbr Sheboygan Llc practices in Sheboygan, WI. The NPI Number for Gbr Sheboygan Llc is 1467529917 and holds a License No. (Wisconsin).

The current practice location address for Gbr Sheboygan Llc is 3100 Superior Ave, Sheboygan, WI and can be reached out via phone at 920-964-0480 and via fax at 920-336-8093. You can also correspond with Gbr Sheboygan Llc through the mailing address at 2941 S RIDGE RD, GREEN BAY, WI - 54304-5517 (mailing address contact number: 920-336-4096).

Location: 3100 Superior Ave, Sheboygan, WI, 54304-5517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467529917
Provider Name
Gbr Sheboygan Llc
Credential
Provider Entity Type
Organization
Address
3100 Superior Ave, Sheboygan, WI, 54304-5517
Phone Number
920-964-0480
Fax Number
920-336-8093
Provider Enumeration Date
11/29/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21284500 05 WI
institution
Provider Business Practice Location Address Details
Address
3100 Superior Ave
City
Sheboygan
State
Wisconsin
Zip
53081-1948
Phone Number
920-964-0480
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.
(Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
(Wisconsin)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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