Organization
GREEN BAY ALLERGY ASTHMA & IMMUNOLOGY S.C. OCONTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W ALLEN MD (OWNER)
(920) 336-5620
Entity
Organization
Contact information
Practice address
203 SMITH AVE STE 1, OCONTO, WI 54153-1060
(920) 834-8833
Mailing address
203 SMITH AVE STE 1, OCONTO, WI 54153-1060
(920) 834-8833
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
04/20/2008
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