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Organization
ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC
Active
Organization
ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE MARIE KASDORF (PRESIDENT)
(920) 468-9588
Entity
Organization
Contact information
Practice address
1901 S WEBSTER AVE, SUITE 8, GREEN BAY, WI 54301-2281
(920) 468-9588
(920) 468-1342
Mailing address
1901 S WEBSTER AVE, SUITE 8, GREEN BAY, WI 54301-2281
(920) 468-9588
(920) 468-1342
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32781100
—
WI
Enumeration date
10/26/2005
Last updated
07/18/2016
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