Individual
KUNAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1087 W MASON ST, GREEN BAY, WI 54303-1859
(920) 499-3102
Mailing address
1087 W MASON ST, GREEN BAY, WI 54303-1859
(920) 499-3102
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
68967
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
12/21/2021
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