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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAST SIDE FAMILY PRACTICE SC

Active Organization

EAST SIDE FAMILY PRACTICE SC is a Family Medicine organization located in GREEN BAY, Wisconsin. NPI 1861527863 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GREEN BAY, WI

Registration Details

NPI Number
1861527863
Provider Type
Organization
NPI Issued
Feb 22, 2007 (19.483158417559 yrs)
Last Updated
Oct 25, 2010
Licenses
26550 (WI)
26550 (WI)

Practice Information

Address
424 S MONROE AVE STE 106
GREEN BAY, WI, 543014054
Browse WI providers · Browse ZIP 54301
Phone
9204374366
Fax
9204370954
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Organizations in GREEN BAY, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.