Individual provider · Type 1 NPI
Terence Shaun Edgar, MD
Neurology with Special Qualifications in Child Neurology Physician · Green Bay, WI
Practice location
1821 S Webster Ave
Green Bay, WI 54301-2253
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 34917-20 (WI) |
| Epilepsy Physician | 2084E0001X | 34917-20 (WI) |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 34917-20 (WI) |
| Neurology with Special Qualifications in Child Neurology Physician Primary | 2084N0402X | 34917-20 (WI) |
Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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About NPI 1679506091
Terence Shaun Edgar, MD's National Provider Identifier is 1679506091, issued on Jul 9, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Green Bay, WI. The record was last updated on Aug 28, 2025.