Individual
JANE A DANOWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4585
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41751-02
WI
208000000X
Pediatrics Physician
Primary
41751
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41751
LICENSE
WV
Enumeration date
12/05/2005
Last updated
03/05/2014
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