Individual
ANN M LAAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1860 SHAWANO AVE, GREEN BAY, WI 54303-2667
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036135247
IL
207RI0200X
Infectious Disease Physician
Primary
86116-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100365586
—
WI
Enumeration date
06/04/2009
Last updated
10/06/2025
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