Dousman Clinic, S.C.
Family Medicine in Green Bay, WI. Organization (NPI-2).
NPI number1265634331
StatusActive
Last updated in NPPESOct 24, 2012
Details
- NPI
- 1265634331
- Entity type
- Organization (NPI-2)
- Legal business name
- Dousman Clinic, S.C.
- Organization subpart
- No
- Enumeration date
- Jun 1, 2007
- Last updated
- Oct 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | WI | Yes |
Practice location
124 Siegler StGreen Bay, WI 54303-2636
Phone 920-494-9661
Mailing address
124 Siegler StGreen Bay, WI 54303-2636
Phone 920-494-9661
Authorized official
Jan E Reimer
Clinic Manager
9204949661
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