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Hemophilia Outreach Of Wisconsin, Inc.
Non-Pharmacy Dispensing Site in Green Bay, Wisconsin
NPI 1851390686

Hemophilia Outreach Of Wisconsin, Inc. is a Non-Pharmacy Dispensing Site based in Green Bay, WI. Hemophilia Outreach Of Wisconsin, Inc. practices in Green Bay, WI. The NPI Number for Hemophilia Outreach Of Wisconsin, Inc. is 1851390686 and holds a License No. 40681 (Wisconsin).

The current practice location address for Hemophilia Outreach Of Wisconsin, Inc. is 2060 Bellevue St, Green Bay, WI and can be reached out via phone at 920-965-0606 and via fax at 920-965-0607.

Location: 2060 Bellevue St, Green Bay, WI, 54311-5622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851390686
Provider Name
Hemophilia Outreach Of Wisconsin, Inc.
Credential
Provider Entity Type
Organization
Address
2060 Bellevue St, Green Bay, WI, 54311-5622
Phone Number
920-965-0606
Fax Number
920-965-0607
Provider Enumeration Date
07/14/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5123170 01 WI NCPDP NUMBER
32850600 05 WI
institution
Provider Business Practice Location Address Details
Address
2060 Bellevue St
City
Green Bay
State
Wisconsin
Zip
54311-5622
Phone Number
920-965-0606
Fax Number
920-965-0607
person
Provider Business Mailing Address Details
Address
2060 Bellevue St
City
Green Bay
State
Wisconsin
Zip
54311-5622
Phone Number
920-965-0606
Fax Number
920-965-0607
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology
Taxonomy
207RH0000X
License No.
5123170 (Wisconsin)
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
40681 (Wisconsin)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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