Individual
DR. RUTH CALLAWAY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3135
(920) 884-3144
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3135
(920) 884-3144
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
50362
WI
207RX0202X
Medical Oncology Physician
5101018539
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004011
—
WI
01
—
1124096185
BCBS ANTHEM
WI
05
—
1124096185
—
MI
Enumeration date
03/08/2006
Last updated
12/20/2021
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