NPI 1083650907

Diane M Mayland, MD

Practitioner Otolaryngology Physician Green Bay, WI

Practice location

Address: 2845 Greenbrier Rd STE 220, Green Bay, WI 54311-6519
Phone: (920) 288-8230
Fax: (920) 288-8235
Mailing address: 2845 Greenbrier Rd STE 220 PO Box 8900, Green Bay, WI 54308-8900

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 28780 (WI)

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Registry record

NPI: 1083650907
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2006
Record last updated: 3 Sep 2008

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.