Individual
BRYAN JAMES STOPPENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4060
Mailing address
1445 QUARRY PARK DR, DE PERE, WI 54115-7231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3996-23
WI
Other
Enumeration date
12/28/2016
Last updated
02/12/2024
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