Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATRINA LYNN DESTREE, M.D.
Active Sole ProprietorDR. KATRINA LYNN DESTREE, M.D. is a Emergency Medicine healthcare provider located in GREEN BAY, Wisconsin. NPI 1295021079 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · GREEN BAY, WI
Registration Details
- NPI Number
- 1295021079
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2011 (15.182052009185 yrs)
- Last Updated
- Apr 11, 2024
- Licenses
-
0101252351 (VA)735-00 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2845 GREENBRIER RDGREEN BAY, WI, 543116519Browse WI providers · Browse ZIP 54311
- Phone
- 9202884060
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| DR. SHAY NICHOLAS | M.D. | 1700869526 |
| DR. JILL P HARMAN | M.D. | 1144203969 |
| DR. KEITH KENJI SANO | MD | 1275516072 |
| DR. PAUL D CASEY | M.D. | 1427031236 |
| DR. DAVID J HOYER | M.D. | 1629051164 |
| JASON G COISMAN | DO | 1538135926 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.