Individual
MARIE D NASSIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4665 WERY RD, GREEN BAY, WI 54311-9102
(920) 866-1394
Mailing address
4665 WERY RD, GREEN BAY, WI 54311-9102
(920) 217-7868
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32906
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31784400
—
WI
Enumeration date
06/25/2006
Last updated
09/24/2009
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