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Organization

SURGICAL SPECIALIST OF GREEN BAY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS V GEONARIS MD (MD)
(920) 438-7155
Entity
Organization

Contact information

Practice address
720 S. VANBUREN ST, SUITE 202, GREEN BAY, WI 54301
(920) 438-7155
(920) 438-7193
Mailing address
720 S. VANBUREN ST, SUITE 202, GREEN BAY, WI 54301
(920) 438-7155
(920) 438-7193

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WI

Other

Enumeration date
05/24/2005
Last updated
07/21/2022
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