Individual provider · Type 1 NPI

Philip Thomas Skummer

Vascular & Interventional Radiology Physician · Green Bay, WI

NPI number 1104386911 Active

Practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Call (920) 433-6084 Map

Other practice locations

  • 510 S Kingshighway Blvd, St. Louis, MO 63110-1016 · (314) 362-7200
  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 · (920) 288-8000

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X2026048564 (MO)
Vascular & Interventional Radiology Physician Primary 2085R0204X76025-20 (WI)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1104386911

Philip Thomas Skummer's National Provider Identifier is 1104386911, issued on Mar 20, 2019. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Green Bay, WI. The record was last updated on Oct 7, 2026.