Individual
MAXIME TINDONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
83047-20
WI
208M00000X
Hospitalist Physician
Primary
83047-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281122
—
WI
Enumeration date
09/13/2021
Last updated
12/18/2024
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