NPI 1124113402
Teresa Elm
Practice location
- Address
- 2811 S Oneida St, Green Bay, WI 54304-5748
- Phone
- (920) 496-9699
- Fax
- (920) 496-1540
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1124113402
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Oct 2006
- Record last updated
- 7 Dec 2017
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.