Surgical Specialist of Green Bay Inc.

NPI #1952304727 in Green Bay, Wisconsin

Provider Information

NPI Number: 1952304727
Entity Type: Organization
Organization Name: Surgical Specialist of Green Bay Inc.
Primary Specialty: Specialist
Enumeration Date: May 24, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 720 S. VANBUREN ST
Address 2: SUITE 202
City: Green Bay
State: Wisconsin
ZIP Code: 54301
Phone: (920) 438-7155

Authorized Official

Name: THOMAS V GEONARIS, MD
Title: MD
Phone: (920) 438-7155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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