Individual
DR. JAMES J GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, #420, GREEN BAY, WI 54308-8900
(920) 288-8400
(920) 288-8461
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32524500
—
WI
Enumeration date
08/20/2006
Last updated
09/28/2023
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