Individual
P PERRY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5000
Mailing address
1622 GOLF VIEW DR W, SHEBOYGAN, WI 53083-3454
(920) 457-8468
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
32128
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31706500
—
WI
Enumeration date
05/06/2006
Last updated
11/30/2021
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