Individual
AMANDA L GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5320 W MICHAELS DR, APPLETON, WI 54913-8446
(920) 882-8200
(920) 882-8225
Mailing address
5320 W MICHAELS DR, APPLETON, WI 54913-8446
(920) 882-8200
(920) 882-8225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
70948-20
WI
207L00000X
Anesthesiology Physician
R-10331
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
70948-20
WI
Other
Enumeration date
06/18/2015
Last updated
12/23/2020
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