Organization · Type 2 NPI

Green Bay Oncology, Ltd

Hematology & Oncology Physician · Green Bay, WI

NPI number 1649214941 Active

Practice location

1726 Shawano Ave
Green Bay, WI 54303

Call (920) 884-3135 Map

Fax (920) 884-3271

Mailing address

1726 Shawano Ave.
Green Bay, WI 54303

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 1649214941

Green Bay Oncology, Ltd's National Provider Identifier is 1649214941, issued on Jun 16, 2006. 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 Oct 28, 2014.