Individual
JACQUELINE DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101022598
MI
208M00000X
Hospitalist Physician
Primary
71494
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092096
—
WI
Enumeration date
07/27/2016
Last updated
12/03/2021
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