Organization
OCCUPATIONAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK KISER MD (MD)
(920) 265-8829
Entity
Organization
Contact information
Practice address
2688 VISSERS CT, GREEN BAY, WI 54313-5856
(920) 265-8829
(920) 498-8829
Mailing address
2688 VISSERS CT, GREEN BAY, WI 54313-5856
(920) 265-8829
(920) 498-8829
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
23110
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000086811
MEDICARE PROVIDER NUMBER
WI
Enumeration date
02/16/2009
Last updated
02/16/2009
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