# CUSTOMIZED HEALTH CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1962347641
- **Authorized official:** BRIAN WOODBRIDGE MD (OWNER)
- **Authorized official phone:** (920) 545-5109

## Contact information

- **Practice address:** 108 PACKERLAND DR STE D1, GREEN BAY, WI 54303-4862
- **Practice address phone:** (920) 545-5109
- **Practice address fax:** (920) 593-9159
- **Mailing address:** 108 PACKERLAND DR STE D1, GREEN BAY, WI 54303-4862
- **Mailing address phone:** (920) 545-5109
- **Mailing address fax:** (920) 593-9159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2026
- **Last updated:** 04/21/2026