Individual
KEVIN A GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 SOUTH VAN BUREN STREET, SUITE 303, GREEN BAY, WI 54301
(920) 433-9621
(920) 433-0565
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
43457
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330005526
RAILROAD MEDICARE
—
05
—
34115900
—
WI
05
—
43315201
—
MI
Enumeration date
08/13/2006
Last updated
02/20/2014
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