Individual
VICTORIA PASSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-6073
(920) 431-0333
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
49830
MN
2084P0800X
Psychiatry Physician
Primary
59847-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043445000
—
MN
Enumeration date
02/15/2007
Last updated
11/23/2020
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