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Maria D De Villa, MD
Medical Oncology Physician in Green Bay, Wisconsin
NPI 1538321252

Maria D De Villa is a Medical Oncology Physician based in Green Bay, WI and is specialized in Medical Oncology. Maria D De Villa practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Maria D De Villa is 1538321252 and holds a License No. 24698 (Wisconsin).

The current practice location address for Maria D De Villa 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. You can also correspond with Maria D De Villa through the mailing address at PO BOX 22487, GREEN BAY, WI - 54305-2487 (mailing address contact number: 920-445-7226).

Location: 1580 Commanche Ave, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538321252
Provider Name
Maria D De Villa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1580 Commanche Ave, Green Bay, WI, 54305-2487
Phone Number
920-435-8326
Fax Number
920-430-4659
Provider Enumeration Date
06/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100057118 05 WI
P01669360 01 WI RAILROAD MEDICARE
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
Po Box 22487
City
Green Bay
State
Wisconsin
Zip
54305-2487
Phone Number
920-445-7226
Fax Number
920-445-7229
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
65835-20 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
24698 (Nebraska)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
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