Individual
MR. JOEL STEVEN AMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, ROOM 1041, GREEN BAY, WI 54301-3526
(920) 496-4700
(920) 433-8569
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 433-8569
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
40894
WI
2080P0203X
Pediatric Critical Care Medicine Physician
G65706
CA
2080P0203X
Pediatric Critical Care Medicine Physician
ME141981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32533100
—
WI
Enumeration date
07/08/2006
Last updated
11/10/2022
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