Organization
UROLOGY ASSOCIATES OF GREEN BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY BOEHM (MANAGER)
(920) 455-9411
Entity
Organization
Contact information
Practice address
835 S MAIN ST, OCONTO FALLS, WI 54154-1282
(920) 433-9400
Mailing address
720 S VAN BUREN ST STE 301, GREEN BAY, WI 54301-3534
(920) 433-9400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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