Individual
CALVIN D NOGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 FRENCH ST, PESHTIGO, WI 54157-1203
(715) 582-9949
(715) 582-4464
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27288020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080171064
RR MEDICARE
—
05
—
30666400
—
WI
01
—
523492113
CHAMPUS/TRICARE
—
01
—
523492113007
BCBS
WI
Enumeration date
09/30/2005
Last updated
10/28/2016
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