Individual
DR. DAVID SEEGER TEARSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
704 S WEBSTER AVE, GREEN BAY, WI 54301-3528
(920) 430-4888
(920) 430-4889
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26230-20
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
27110
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184621468
—
IA
01
—
23758
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
07/01/2005
Last updated
04/02/2020
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