Individual
PHILIP THOMAS SKUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-6084
Mailing address
9200 W WISCONSIN AVE RM 2803, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
76025-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
06/26/2025
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