Individual
PATRICK M CARRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1789 SHAWANO AVE, GREEN BAY, WI 54303
(920) 499-1428
(920) 499-5808
Mailing address
PO BOX 3006, GREEN BAY, WI 54303
(920) 499-1428
(920) 499-5808
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20858-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018425002
UNITED HEALTHCARE AMERICH
—
01
—
1018425003
UNITED HEALTHCARE AMERICH
—
01
—
14115
DEAN HEALTH
—
05
—
1997693
—
MI
01
—
300020916
RR MEDICARE
—
05
—
30153800
—
WI
01
—
567565
DEAN HEALTH
—
01
—
P00028700
RR MEDICARE
—
Enumeration date
07/12/2006
Last updated
11/05/2009
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