Individual
DR. ALEX COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3135
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(801) 971-8416
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
153028
CA
2085R0001X
Radiation Oncology Physician
Primary
75577-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/27/2016
Last updated
12/22/2021
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