Organization
NEONATAL CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL SERVAIS (BILLING MANAGER)
(920) 983-9401
Entity
Organization
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 983-9401
(920) 983-9408
Mailing address
PO BOX 57, DE PERE, WI 54115-0057
(920) 983-9401
(920) 983-9402
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32760100
—
WI
Enumeration date
02/21/2007
Last updated
01/22/2014
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