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Umang Gautam, MD
Hematology & Oncology Physician in Green Bay, Wisconsin
NPI 1477564292

Umang Gautam is a Hematology & Oncology Physician based in Chicago, WI and is specialized in Hematology & Oncology. Umang Gautam practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Umang Gautam is 1477564292 and holds a License No. 44330 (Wisconsin).

The current practice location address for Umang Gautam is 2845 Greenbrier Rd, Green Bay, WI and can be reached out via phone at 920-288-8000.

Location: 2845 Greenbrier Rd, Green Bay, WI, 60673-5041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477564292
Provider Name
Umang Gautam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2845 Greenbrier Rd, Green Bay, WI, 60673-5041
Phone Number
920-288-8000
Fax Number
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34205800 05 WI
institution
Provider Business Practice Location Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-8000
Fax Number
person
Provider Business Mailing Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
44330 (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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