Green Bay Allergy Asthma & Immunology S.c. Oconto

NPI #1922167402 in Oconto, Wisconsin

Provider Information

NPI Number: 1922167402
Entity Type: Organization
Organization Name: Green Bay Allergy Asthma & Immunology S.c. Oconto
Primary Specialty: Internal Medicine
Enumeration Date: Dec 8, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 203 SMITH AVE STE 1
City: Oconto
State: Wisconsin
ZIP Code: 54153-1060
Phone: (920) 834-8833

Authorized Official

Name: JAMES W ALLEN, MD
Title: OWNER
Phone: (920) 336-5620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Internal Medicine	207R00000X	Primary

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