# ACADEMIC MATERNAL-FETAL MEDICINE CONSULTANTS SC

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

## Provider details

- **NPI number:** 1619992179
- **Authorized official:** DR. SUSAN L SIPES M.D. (PRESIDENT)
- **Authorized official phone:** (920) 433-8265

## Contact information

- **Practice address:** 835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
- **Practice address phone:** (920) 433-8265
- **Mailing address:** 200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54911-5490
- **Mailing address phone:** (800) 236-1412
- **Mailing address fax:** (920) 739-0124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 08/22/2020