NPI 1013910785

William J Dierberg, MD

Practitioner Plastic Surgery Physician Green Bay, WI

Practice location

Address: 2605 Development Dr, Green Bay, WI 54311-4240
Phone: (920) 288-8240
Mailing address: 2073 Wintergreen CT, Green Bay, WI 54304-1946

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 31110-020 (WI)

Other Plastic Surgery providers in Wisconsin →

Registry record

NPI: 1013910785
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2005
Record last updated: 7 Mar 2023

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.