Hemophilia Outreach of Wisconsin, Inc.

NPI #1851390686 in Green Bay, Wisconsin

Provider Information

NPI Number
1851390686
Entity Type
Organization
Organization Name
Hemophilia Outreach of Wisconsin, Inc.
Primary Specialty
Internal Medicine - Hematology
Enumeration Date
Jul 14, 2005
Last Updated
Feb 1, 2022

Practice Location

Address
2060 BELLEVUE ST
ZIP Code
54311-5622
Phone
(920) 965-0606

Authorized Official

Name
MR. JAMISON BUXTON
Title
EXECUTIVE DIRECTOR
Phone
(920) 965-0606

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site
Internal Medicine - HematologyHematology

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