Individual
INES C PACURAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7300
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 327-7300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51820-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35323200
—
WI
01
—
51820-20
WI LICENSE
WI
Enumeration date
07/02/2008
Last updated
10/15/2023
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