Individual
TAMMY M DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2714 RIVERVIEW DR, GREEN BAY, WI 54313-6715
(920) 430-4760
(920) 430-4774
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301080132
MI
207Q00000X
Family Medicine Physician
Primary
51732-20
WI
Other
Enumeration date
02/27/2006
Last updated
11/05/2018
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