Organization
GREEN BAY EMERGENCY MEDICINE SERVICES S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY BURMEISTER M.D. (PRESIDENT)
(920) 655-1132
Entity
Organization
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) 655-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21289100
—
WI
Enumeration date
11/17/2005
Last updated
08/08/2025
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