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Green Bay Oncology, Ltd
Hematology & Oncology Physician in Green Bay, Wisconsin
NPI 1649214941

Green Bay Oncology, Ltd is a Hematology & Oncology Physician based in Green Bay, WI and is specialized in Hematology & Oncology. Green Bay Oncology, Ltd practices in Green Bay, WI. The NPI Number for Green Bay Oncology, Ltd is 1649214941 and holds a License No. (Wisconsin).

The current practice location address for Green Bay Oncology, Ltd is 1726 Shawano Ave, Green Bay, WI and can be reached out via phone at 920-884-3135 and via fax at 920-884-3271.

Location: 1726 Shawano Ave, Green Bay, WI, 54303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649214941
Provider Name
Green Bay Oncology, Ltd
Credential
Provider Entity Type
Organization
Address
1726 Shawano Ave, Green Bay, WI, 54303
Phone Number
920-884-3135
Fax Number
920-884-3271
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32769100 05 WI
O1037 01 RR MEDICARE
110B210240 01 MI BCBS GROUP
0189920001 01 DMERC
institution
Provider Business Practice Location Address Details
Address
1726 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303
Phone Number
920-884-3135
Fax Number
920-884-3271
person
Provider Business Mailing Address Details
Address
1726 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303
Phone Number
920-884-3135
Fax Number
920-884-3271
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
()
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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