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Individual

DR. MERLE L TEETZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2845 GREENBRIER RD, 1ST FL, GREEN BAY, WI 54308
(920) 288-8100
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4611
ND
2084N0400X
Neurology Physician
Primary
21870
WI

Other

Enumeration date
08/24/2006
Last updated
07/31/2012
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