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Individual

ERIC ABDUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4700
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
83115-20
WI

Other

Enumeration date
06/04/2012
Last updated
02/22/2024
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