Individual
VEERANAGOUDA PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2640 W POINT RD, GREEN BAY, WI 54304-1344
(920) 490-3790
(920) 490-3858
Mailing address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
(920) 391-6940
(920) 391-4811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30810
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31762200
—
WI
Enumeration date
09/22/2006
Last updated
03/31/2022
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