Individual
WILLIAM M REYNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4700
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28059
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28059
LICENSE
WI
05
—
30754500
—
WI
Enumeration date
12/06/2005
Last updated
03/14/2014
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