Milo C. Huempfner Cboc

NPI #1205269610 in Green Bay, Wisconsin

Provider Information

NPI Number: 1205269610
Entity Type: Organization
Organization Name: Milo C. Huempfner Cboc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Aug 21, 2013
Last Updated: Aug 21, 2013

Practice Location

Address: 2851 UNIVERSITY AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54311-5855
Phone: (920) 431-2500

Authorized Official

Name: TIMOTHY J DEACY
Title: MANAGER
Phone: (920) 431-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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