Dr. Rene Martin Earles, MD
Dermatology in Green Bay, WI. Individual provider (NPI-1).
NPI number1609946292
StatusActive
Last updated in NPPESDec 21, 2015
Details
- NPI
- 1609946292
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rene Martin Earles
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2006
- Last updated
- Dec 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 54674-20 | WI | Yes |
| 207N00000X | Dermatology | 036044864 | IL |
Practice location
2221 S Webster AveSte 241
Green Bay, WI 54301-2158
Phone 920-965-0345 · Fax 920-273-6011
Mailing address
2221 S Webster AveSte 241
Green Bay, WI 54301-2158
Phone 920-965-0345 · Fax 920-273-6011
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All 18 Dermatology Physician providers in Green Bay · All 5,539 providers in Green Bay
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