NPI 1396566030

Frantz Merveilleux Simon

Practitioner Anesthesiologist Assistant Green Bay, WI

Practice location

Address: 744 S Webster Ave, Green Bay, WI 54301-3505
Phone: (920) 433-3605
Fax: (920) 433-3589
Mailing address: 1913 Browning Rd, Madison, WI 53704-3003

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 583-17 (WI)

Other Anesthesiologist Assistant providers in Wisconsin →

Registry record

NPI: 1396566030
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2024
Record last updated: 21 May 2025

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.