Individual
STEPHEN ROSS TRIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1115 BOND ST, GREEN BAY, WI 54303-4040
(920) 437-1914
Mailing address
1115 BOND ST, GREEN BAY, WI 54303-4040
(920) 437-1914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
152787-030
WI
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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