Individual
DR. ROLAND P MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4010
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
41601
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32718000
—
WI
Enumeration date
08/23/2006
Last updated
10/07/2025
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