Individual
DR. ELLEN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2340 DUCK CREEK PKWY, GREEN BAY, WI 54303-3300
(920) 965-5525
Mailing address
4171 NICOLET DR, GREEN BAY, WI 54311-9100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001074 - 15
WI
1223G0001X
General Practice Dentistry
1001074
WI
Other
Enumeration date
05/22/2015
Last updated
09/17/2020
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