NPI 1023699576
Greenbayctd LLC
Practice location
- Address
- 2280 Holmgren Way, Green Bay, WI 54304-4710
- Phone
- (920) 489-3491
- Mailing address
- 8025 Excelsior Dr, Madison, WI 53717-1900
Authorised official
- Name
- Mitch Weiland
- Title
- Assistant Controller
- Phone
- (608) 343-0818
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1023699576
- Entity type
- Organization
- NPI issued
- 16 Apr 2021
- Record last updated
- 16 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.