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Individual

FRANTZ MERVEILLEUX SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3605
(920) 433-3589
Mailing address
1913 BROWNING RD, MADISON, WI 53704-3003
(920) 659-8396

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
583-17
WI

Other

Enumeration date
10/23/2024
Last updated
05/21/2025
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