Individual
JESSICA J BUZAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F-NP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4574-33
WI
Other
Enumeration date
09/22/2011
Last updated
11/28/2011
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