Individual
SHERWOOD W VANDERWOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD STE 220, GREEN BAY, WI 54311-6519
(920) 288-8230
(920) 288-8235
Mailing address
2845 GREENBRIER RD STE 220, PO BOX 8900, GREEN BAY, WI 54308-8900
(920) 288-8230
(920) 288-8235
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18926
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30979500
—
WI
Enumeration date
07/21/2006
Last updated
09/30/2008
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