New Ent Sc

NPI #1861691149 in Green Bay, Wisconsin

Provider Information

NPI Number: 1861691149
Entity Type: Organization
Organization Name: New Ent Sc
Primary Specialty: Otolaryngology
Enumeration Date: Jul 16, 2007
Last Updated: Nov 3, 2010

Practice Location

Address: 923 ELIZA ST
City: Green Bay
State: Wisconsin
ZIP Code: 54301-3234
Phone: (920) 965-4800

Authorized Official

Name: SALLY JILOT
Title: ADMINISTRATOR
Phone: (920) 965-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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