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Organization

GENERAL VASCULAR SURGERY OF GREEN BAY SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE K STROOBANTS (PROVIDER CLINIC MAINTENANCE)
(920) 445-7222
Entity
Organization

Contact information

Practice address
704 S WEBSTER AVE, SUITE 15, GREEN BAY, WI 54301-3528
(920) 433-7463
Mailing address
704 S WEBSTER AVE, SUITE 15, GREEN BAY, WI 54301-3528
(920) 433-7463

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
04/12/2006
Last updated
03/19/2012
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