Individual
BRIAN S WOODBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2253 W MASON ST, GREEN BAY, WI 54303
(920) 327-7300
Mailing address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45824
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
45824020
WI
208M00000X
Hospitalist Physician
45824020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34397800
—
WI
Enumeration date
03/07/2006
Last updated
11/24/2021
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