Individual
PATRICIA ELIZABETH SIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1715 DOUSMAN ST., GREEN BAY, WI 54303-3211
(920) 496-7770
(920) 496-4766
Mailing address
PO BOX 19070, 1715 DOUSMAN ST, GREEN BAY, WI 54307-9070
(920) 796-7770
(920) 496-4766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38535
WI
207R00000X
Internal Medicine Physician
Primary
38535-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34270600
—
WI
Enumeration date
02/24/2006
Last updated
03/05/2013
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