Organization
ORTHOPAEDIC ASSOCIATES OF GREEN BAY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN R LAZZARI (EXECUTIVE DIRECTOR)
(920) 569-5830
Entity
Organization
Contact information
Practice address
1630 COMMANCHE AVE, SUITE 101, GREEN BAY, WI 54313-5753
(920) 468-0246
(920) 432-9309
Mailing address
1630 COMMANCHE AVE, SUITE 101, GREEN BAY, WI 54313-5753
(920) 468-0246
(920) 432-9309
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30646900
—
WI
Enumeration date
01/03/2007
Last updated
07/21/2022
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