Organization
MILO C. HUEMPFNER CBOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J DEACY (MANAGER)
(920) 431-2500
Entity
Organization
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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