Millenium Anesthesiologists, Ltd.

NPI #1215003082 in Green Bay, Wisconsin

Provider Information

NPI Number: 1215003082
Entity Type: Organization
Organization Name: Millenium Anesthesiologists, Ltd.
Primary Specialty: Anesthesiology
Enumeration Date: Nov 25, 2006
Last Updated: Dec 18, 2014

Practice Location

Address: 1726 SHAWANO AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54303-3216
Phone: (920) 498-4200

Authorized Official

Name: DR. CHARLES R HERON, M.D.
Title: PRESIDENT
Phone: (920) 498-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X
Anesthesiology	207L00000X	Primary

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