Organization
BREAST SURGERY EXPERTS OF NORTHEAST WISCONSIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE A. SALM-SCHMID M.D. (PRESIDENT)
(920) 621-2880
Entity
Organization
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
Mailing address
3048 CORNELIUS CT, GREEN BAY, WI 54311-5914
(920) 621-2880
(920) 468-8969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39597-20
WI
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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