Organization
BAY AREA NUCLEAR MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L MEREDITH MD (PRESIDENT)
(920) 991-0862
Entity
Organization
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 465-4984
Mailing address
4040 W SPENCER ST, APPLETON, WI 54914-4015
(920) 991-0862
(920) 991-0863
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
34542
WI
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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