Individual
DR. JEFFREY R. URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2820 ROOSEVELT ROAD, MARINETTE, WI 54143-3834
(715) 735-5225
(715) 735-5388
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49530-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43076
MEDICAL LICENSE
MN
01
—
49530-020
MEDICAL LICENSE
WI
Enumeration date
07/31/2006
Last updated
03/07/2023
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