Individual
VICTORIA M MCMEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
519 S MONROE AVE, GREEN BAY, WI 54301-4017
(920) 435-6601
(920) 436-3840
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
67948-20
WI
208000000X
Pediatrics Physician
22927
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062410A
—
OK
01
—
833515
AMERICAN BOARD OF ALLERGY AND IMMUNOLOGY
—
Enumeration date
03/11/2006
Last updated
11/04/2020
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