Individual provider · Type 1 NPI

William J. Mallory, MD

Diagnostic Radiology Physician · Green Bay, WI

NPI number 1083630776 Active

Practice location

2941 S Ridge Rd
Green Bay, WI 54304-5517

Fax (920) 336-8093

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X22719-020 (WI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1083630776

William J. Mallory, MD's National Provider Identifier is 1083630776, issued on Jul 14, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Green Bay, WI. The record was last updated on Jun 2, 2008.