Individual
BRADLEY GIETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
923 ELIZA ST, GREEN BAY, WI 54301-3234
(920) 965-4800
Mailing address
923 ELIZA ST, GREEN BAY, WI 54301-3234
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
70344-20
WI
Other
Enumeration date
04/30/2017
Last updated
08/05/2022
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