NPI 1790860351

Bay Area Nuclear Medicine Sc

Organisation Nuclear Imaging & Therapy Physician Green Bay, WI

Practice location

Address: 835 S van Buren St, Green Bay, WI 54301-3526
Phone: (920) 465-4984
Mailing address: 4040 W Spencer St, Appleton, WI 54914-4015

Authorised official

Name: Robert L Meredith
Title: President
Phone: (920) 991-0862

Registered specialties

Nuclear Imaging & Therapy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207UN0902X Licence 34542 (WI)

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Registry record

NPI: 1790860351
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 22 Aug 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.