Gbr Sheboygan Llc

NPI 1467529917 - Radiology - 2085R0204X

NPI Details
NPI 1467529917
Enumeration Date 11/29/2006
Last Updated 07/30/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LEEANN M LEEANN
Position MANAGER
Phone (920) 964-0480
Fax (920) 336-8093
Practice Location
3100 SUPERIOR AVE
SHEBOYGAN WI, 53081-1948, US
Phone (920) 964-0480
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 2085R0204X
License State
License Number
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According to our database, Gbr Sheboygan Llc NPI is 1467529917, taxonomy code is 2085R0204X Gbr Sheboygan Llc physically located at 3100 Superior Ave, Sheboygan WI, 53081-1948. NPI Number 1033115704 has the healthcare provider type.

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1467529917 NPI number is provided on an as is basis without warranty of any kind. 1467529917 is maintained by the National Plan & Provider Enumeration System. The contents of Gbr Sheboygan Llc are for informational purposes only.