Individual
ANNAMARIE LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01069505A
IN
207R00000X
Internal Medicine Physician
036150391
IL
207R00000X
Internal Medicine Physician
35120503
OH
207R00000X
Internal Medicine Physician
Primary
77408-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062747
—
OH
05
—
201023980
—
IN
Enumeration date
02/09/2009
Last updated
08/09/2023
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