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East Side Family Practice Sc
General Practice Physician in Green Bay, Wisconsin
NPI 1861527863

East Side Family Practice Sc is a General Practice Physician based in Green Bay, WI. East Side Family Practice Sc practices in Green Bay, WI. The NPI Number for East Side Family Practice Sc is 1861527863 and holds a License No. 26550 (Wisconsin).

The current practice location address for East Side Family Practice Sc is 424 S Monroe Ave Ste 106, Green Bay, WI and can be reached out via phone at 920-437-4366 and via fax at 920-437-0954.

Location: 424 S Monroe Ave Ste 106, Green Bay, WI, 54301-4054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861527863
Provider Name
East Side Family Practice Sc
Credential
Provider Entity Type
Organization
Address
424 S Monroe Ave Ste 106, Green Bay, WI, 54301-4054
Phone Number
920-437-4366
Fax Number
920-437-0954
Provider Enumeration Date
02/22/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
80085001 01 RR MEDICARE PROV #
30021900 05 WI
institution
Provider Business Practice Location Address Details
Address
424 S Monroe Ave Ste 106
City
Green Bay
State
Wisconsin
Zip
54301-4054
Phone Number
920-437-4366
Fax Number
920-437-0954
person
Provider Business Mailing Address Details
Address
424 S Monroe Ave Ste 106
City
Green Bay
State
Wisconsin
Zip
54301-4054
Phone Number
920-437-4366
Fax Number
920-437-0954
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
26550 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
26550 (Wisconsin)
Definition
Definition to come...
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