Organization
GREEN BAY PODIATRY ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS NORBERT TILKENS D.P.M. (OWNER)
(920) 498-0110
Entity
Organization
Contact information
Practice address
2036 S RIDGE RD, GREEN BAY, WI 54304-4127
(920) 498-0110
(920) 498-3481
Mailing address
2036 S RIDGE RD, GREEN BAY, WI 54304-4127
(920) 498-0110
(920) 498-3481
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
353-025
WI
Other
Enumeration date
09/29/2006
Last updated
03/06/2008
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