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Contact Information

NEW MOM'S OF GREEN BAY SC
704 S WEBSTER AVE STOP 110
GREEN BAY, WI54301-3528
 Phone: 920-431-0200
 Fax: 920-431-0300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for NEW MOMS OF GREEN BAY SC · (Female)

NPI Number 1558534313
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2008
Last updated 12/04/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 44616020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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