NPI 1558796490

James E Memmen MD Limited

Organisation Specialist Green Bay, WI

Practice location

Address: 1543 Park Pl STE 400, Green Bay, WI 54304-1970
Phone: (920) 497-0100
Fax: (920) 497-0101
Mailing address: PO Box 10946, Green Bay, WI 54307-0946

Authorised official

Name: James E Memmen
Title: President
Phone: (920) 380-0100

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2918320 (WI)

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Registry record

NPI: 1558796490
Entity type: Organization
NPI issued: 11 Sep 2013
Record last updated: 10 Mar 2020

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.