Organization
NEUROLOGY CONSULTANTS OF NE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARGARET CRAIG MS (PRACTICE ADMINISTRATOR)
(920) 430-7100
Entity
Organization
Contact information
Practice address
720 S VAN BUREN STREET, SUITE 201, GREEN BAY, WI 54301-3585
(920) 430-7100
(920) 430-7114
Mailing address
720 S VAN BUREN STREET, SUITE 201, GREEN BAY, WI 54301-3585
(920) 430-7100
(920) 430-7114
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32837700
—
WI
Enumeration date
07/13/2006
Last updated
08/31/2010
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