Organization · Type 2 NPI

St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis

Hematology & Oncology Physician · Green Bay, WI

NPI number 1184004236 Active

Practice location

1726 Shawano Ave
Green Bay, WI 54303-3216

Mailing address

PO Box 2594
Salt Lake City, UT 84110-2594

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1184004236

St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis's National Provider Identifier is 1184004236, issued on Jun 4, 2015. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Green Bay, WI. The record was last updated on Dec 23, 2021.