Organization
DOUSMAN CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN E REIMER (CLINIC MANAGER)
(920) 494-9661
Entity
Organization
Contact information
Practice address
124 SIEGLER ST, GREEN BAY, WI 54303-2636
(920) 494-9661
Mailing address
124 SIEGLER ST, GREEN BAY, WI 54303-2636
(920) 494-9661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32786100
—
WI
Enumeration date
06/01/2007
Last updated
10/24/2012
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