Individual
DR. JOHN W UTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2845 GREENBRIER RD, #450, GREEN BAY, WI 54308-8900
(920) 288-8510
(920) 288-8511
Mailing address
2845 GREENBRIER RD, SUITE 450, GREEN BAY, WI 54308-8900
(920) 288-8510
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
29590
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31865600
—
WI
Enumeration date
08/24/2006
Last updated
11/30/2021
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