Urology Associates of Green Bay Surgery Center, LLC

NPI #1467172528 in De Pere, Wisconsin

Provider Information

NPI Number: 1467172528
Entity Type: Organization
Organization Name: Urology Associates of Green Bay Surgery Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: UROLOGY ASSOCIATES OF GREEN BAY, SC
Primary Specialty: Urology
Enumeration Date: Aug 30, 2022
Last Updated: Aug 30, 2022

Practice Location

Address: 1385 W MAIN AVE
City: De Pere
State: Wisconsin
ZIP Code: 54115-9366
Phone: (920) 433-9400

Authorized Official

Name: HAMAYUN MIAN, MD
Title: OWNER
Phone: (920) 676-2882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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