Organization · Type 2 NPI

Hemophilia Outreach of Wisconsin, Inc.

Hematology (Internal Medicine) Physician · Green Bay, WI

NPI number 1851390686 Active

Practice location

2060 Bellevue St
Green Bay, WI 54311-5622

Call (920) 965-0606 Map

Fax (920) 965-0607

Other practice locations

3550 Stewart Ave, Wausau, WI 54401-4919 · (715) 680-9810

Specialties and licenses

Taxonomy	Code	License
Hematology (Internal Medicine) Physician Primary	207RH0000X	40681 (WI)
Non-Pharmacy Dispensing Site	332900000X	5123170 (WI)

Hematology (Internal Medicine) Physician: An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

2 other providers at this address

NPI record

NPI: 1851390686
Entity type: Organization (Type 2)
Issued: Jul 14, 2005
Last updated: Feb 1, 2022
Status: Active

Other names

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Hemophilia Outreach Center · doing business as
Hemophilia Outreach Center · doing business as

Authorized official

Mr. Jamison Buxton
Executive Director
(920) 965-0606

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1851390686

Hemophilia Outreach of Wisconsin, Inc.'s National Provider Identifier is 1851390686, issued on Jul 14, 2005. The primary taxonomy on file is Hematology (Internal Medicine) Physician (207RH0000X), and the practice location is in Green Bay, WI. The record was last updated on Feb 1, 2022.