Individual
SIMONE R WARRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4585
(920) 430-4569
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75620
WI
Other
Enumeration date
06/17/2018
Last updated
07/30/2021
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