# ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC

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

## Provider details

- **NPI number:** 1871583203
- **Authorized official:** GAYLE MARIE KASDORF (PRESIDENT)
- **Authorized official phone:** (920) 468-9588

## Contact information

- **Practice address:** 1901 S WEBSTER AVE, SUITE 8, GREEN BAY, WI 54301-2281
- **Practice address phone:** (920) 468-9588
- **Practice address fax:** (920) 468-1342
- **Mailing address:** 1901 S WEBSTER AVE, SUITE 8, GREEN BAY, WI 54301-2281
- **Mailing address phone:** (920) 468-9588
- **Mailing address fax:** (920) 468-1342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 07/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32781100 | — | WI |