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Organization
GENERAL VASCULAR SURGERY OF GREEN BAY SC
Active
Organization
GENERAL VASCULAR SURGERY OF GREEN BAY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (PROVIDER CLINIC MAINTENANCE)
(920) 445-7222
Entity
Organization
Contact information
Practice address
704 S WEBSTER AVE, SUITE 15, GREEN BAY, WI 54301-3528
(920) 433-7463
Mailing address
704 S WEBSTER AVE, SUITE 15, GREEN BAY, WI 54301-3528
(920) 433-7463
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
04/12/2006
Last updated
03/19/2012
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