Individual
DR. BARRY T DAUGHTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
704 S WEBSTER AVE, SUITE 200, GREEN BAY, WI 54301-3528
(920) 433-3410
(920) 433-3469
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56171-20
WI
Other
Enumeration date
07/09/2006
Last updated
02/26/2021
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