William J. Mallory M.D.

NPI 1083630776 - Radiology - 2085R0202X

NPI Details
NPI 1083630776
Gender Male
Enumeration Date 07/14/2006
Last Updated 06/02/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2941 S RIDGE RD
GREEN BAY WI, 54304-5517, US
Phone (920) 336-4096
Fax (920) 336-8093
Business Location
2941 S RIDGE RD
GREEN BAY WI, 54304-5517, US
Phone (920) 336-4096
Fax (920) 336-8093
Toxanomy
Taxonomy Code 2085R0202X
License State Wisconsin
License Number 22719-020
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According to our database, Dr. William J. Mallory M.D. NPI is 1083630776, taxonomy code is 2085R0202X and license number is 22719-020, license state is located at Wisconsin. William J. Mallory M.D. physically located at 2941 S Ridge Rd, Green Bay WI, 54304-5517. NPI Number William J. Mallory M.D. has the Individual type.

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1083630776 NPI number is provided on an as is basis without warranty of any kind. 1083630776 is maintained by the National Plan & Provider Enumeration System. The contents of William J. Mallory M.D. are for informational purposes only.