Organization
UROLOGY ASSOCIATES OF GREEN BAY SURGERY CENTER, LLC
Active
Parent organization
UROLOGY ASSOCIATES OF GREEN BAY, SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UROLOGY ASSOCIATES OF GREEN BAY, SC
Authorized official
HAMAYUN MIAN MD (OWNER)
(920) 676-2882
Entity
Organization
Contact information
Practice address
1385 W MAIN AVE, DE PERE, WI 54115-9366
(920) 433-9400
(920) 455-9409
Mailing address
720 S VANBUREN STREET, STE 301, GREEN BAY, WI 54301
(920) 433-9400
(920) 455-9409
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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