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Contact Information

ALEX COFFMAN, MD
1726 SHAWANO AVE
GREEN BAY, WI54303-3216
 Phone: 920-884-3135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ALEX COFFMAN · (Male)

NPI Number 1871045690
Status Active
Credentials MD
Entity Individual
Enumeration date 10/27/2016
Last updated 12/22/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 153028
  • WI License # 75577-20
Hospital affiliation(s)
  • ST NICHOLAS HOSPITAL - (Acute Care)
    3100 SUPERIOR AVE
    SHEBOYGAN, WI 53081
  • ST VINCENT HSPTL - (Acute Care)
    835 S VAN BUREN ST
    GREEN BAY, WI 54301
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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