Green Bay Podiatry Associates Sc

NPI #1316039068 in Green Bay, Wisconsin

Provider Information

NPI Number: 1316039068
Entity Type: Organization
Organization Name: Green Bay Podiatry Associates Sc
Primary Specialty: Podiatrist
Enumeration Date: Sep 29, 2006
Last Updated: Mar 6, 2008

Practice Location

Address: 2036 S RIDGE RD
City: Green Bay
State: Wisconsin
ZIP Code: 54304-4127
Phone: (920) 498-0110

Authorized Official

Name: DR. THOMAS NORBERT TILKENS, D.P.M.
Title: OWNER
Phone: (920) 498-0110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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