Simone R Warrack, DO
Pediatrics in Green Bay, WI. Individual provider (NPI-1).
NPI number1982198644
StatusActive
Last updated in NPPESJul 30, 2021
Details
- NPI
- 1982198644
- Entity type
- Individual (NPI-1)
- Name
- Simone R Warrack
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2018
- Certification date
- Jul 30, 2021
- Last updated
- Jul 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 75620 | WI | Yes |
Practice location
1630 Commanche AveGreen Bay, WI 54313-5753
Phone 920-430-4585 · Fax 920-430-4569
Mailing address
Po Box 22487Green Bay, WI 54305-2487
Phone 920-445-7222 · Fax 920-445-7289
Other practice locations
982185 Nebraska Medical Ctr
Omaha, NE 68198-2185
Omaha, NE 68198-2185
Phone 402-559-5380 · Fax 402-559-5137
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