person
William Robert Conrad, PA
Medical Physician Assistant in Green Bay, Wisconsin
NPI 1801898564

William Robert Conrad is a Medical Physician Assistant based in Green Bay, WI and is specialized in Medical. William Robert Conrad practices in Green Bay, WI and has the professional credentials of PA. The NPI Number for William Robert Conrad is 1801898564 and holds a License No. 1794-023 (Wisconsin).

The current practice location address for William Robert Conrad is 720 S Van Buren St, Green Bay, WI and can be reached out via phone at 920-433-9400 and via fax at 920-433-9409. You can also correspond with William Robert Conrad through the mailing address at 720 S VAN BUREN ST, GREEN BAY, WI - 54301-3538 (mailing address contact number: 920-433-9400).

Location: 720 S Van Buren St, Green Bay, WI, 54301-3538
person
Provider Profile Details
NPI Number
1801898564
Provider Name
William Robert Conrad
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
720 S Van Buren St, Green Bay, WI, 54301-3538
Phone Number
920-433-9400
Fax Number
920-433-9409
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41994800 05 WI
institution
Provider Business Practice Location Address Details
Address
720 S Van Buren St
City
State
Zip
54301-3538
Phone Number
920-433-9400
Fax Number
920-433-9409
person
Provider Business Mailing Address Details
Address
720 S Van Buren St
City
State
Zip
54301-3538
Phone Number
920-433-9400
Fax Number
920-433-9409
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1794-023 (Wisconsin)
Definition
Definition to come...
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