Organization
ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE MARIE KASDORF (PRESIDENT)
(920) 468-9588
Entity
Organization
Contact information
Practice address
1901 S WEBSTER AVE, SUITE 8, GREEN BAY, WI 54301-2281
(920) 468-9588
(920) 468-1342
Mailing address
1901 S WEBSTER AVE, SUITE 8, GREEN BAY, WI 54301-2281
(920) 468-9588
(920) 468-1342
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32781100
—
WI
Enumeration date
10/26/2005
Last updated
07/18/2016
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