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Terence Shaun Edgar, MD
Neurology Physician in Green Bay, Wisconsin
NPI 1679506091

Terence Shaun Edgar is a Neurology Physician based in Green Bay, WI and is specialized in Neurology. Terence Shaun Edgar practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Terence Shaun Edgar is 1679506091 and holds a License No. 34917 (Wisconsin).

The current practice location address for Terence Shaun Edgar is 1821 S Webster Ave, Green Bay, WI and can be reached out via phone at 920-496-4700. You can also correspond with Terence Shaun Edgar through the mailing address at PO BOX 19070, GREEN BAY, WI - 54307-9070 (mailing address contact number: 920-496-4700).

Location: 1821 S Webster Ave, Green Bay, WI, 54307-9070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679506091
Provider Name
Terence Shaun Edgar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1821 S Webster Ave, Green Bay, WI, 54307-9070
Phone Number
920-496-4700
Fax Number
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ENROLLED 05 IA
32117600 05 WI
ENROLLED 05 MN
institution
Provider Business Practice Location Address Details
Address
1821 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2253
Phone Number
920-496-4700
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 19070
City
Green Bay
State
Wisconsin
Zip
54307-9070
Phone Number
920-496-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
52201 (Minnesota)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
34917 (Wisconsin)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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