Organization
GENERAL & VASCULAR CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY J SWIECICHOWSKI (ADMINISTRATOR)
(920) 965-4714
Entity
Organization
Contact information
Practice address
720 S VAN BUREN ST, SUITE 102, GREEN BAY, WI 54301-3538
(920) 430-8120
(920) 430-8122
Mailing address
720 S VAN BUREN ST, SUITE 102, GREEN BAY, WI 54301-3538
(920) 430-8120
(920) 430-8122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21297300
—
WI
Enumeration date
04/17/2007
Last updated
03/09/2010
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