Individual
JONATHAN M LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4848
(920) 288-4956
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
46462020
WI
2085R0202X
Diagnostic Radiology Physician
Primary
A68115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34548900
—
WI
Enumeration date
07/21/2006
Last updated
04/28/2026
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