# GREEN BAY ALLERGY,ASTHMA & IMMUNOLOGY SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467405589
- **Authorized official:** DENISE K STROOBANTS (PROVIDER/CLINIC MAINTENANCE)
- **Authorized official phone:** (920) 445-7222

## Contact information

- **Practice address:** 555 REDBIRD CIR, DE PERE, WI 54115-7977
- **Practice address phone:** (920) 445-7285
- **Mailing address:** 555 REDBIRD CIR, DE PERE, WI 54115-7977
- **Mailing address phone:** (920) 445-7285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 09/11/2025