Individual
DR. PATRICK BURANICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81788-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240322
—
WI
Enumeration date
04/22/2019
Last updated
07/02/2025
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