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Contact Information

JOHN W UTRIE, DO
2845 GREENBRIER RD
#450
GREEN BAY, WI54308-8900
 Phone: 920-288-8510
 Fax: 920-288-8511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JOHN W UTRIE · (Male)

NPI Number 1154438265
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/24/2006
Last updated 11/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 29590
  • WI Medicaid 31865600
Hospital affiliation(s)
  • AURORA BAYCARE MED CTR - (Acute Care)
    2845 GREENBRIER RD
    GREEN BAY, WI 54311
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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