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NPI Profile for MARIDINE L CO in GREEN BAY, WI.
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Gastroenterology |
2080P0206X | 37 | Physician/Pediatric Medicine | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1518148915 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 11/14/2007 | |
| Last updated | 08/28/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MARIDINE L CO
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MARIDINE L CO, MD