NPI Provider: 1053317859
Contact Name: Foxworthy L Susan
Position: Administrator
Phone: (920) 448-2800
Village Of Allouez Information:
Village Of Allouez organization have npi 1053317859, taxonomy code is 3416L0300X with license number is 6001005 in . This Business address located in 1900 Libal St, Green Bay, WI 54301 Wisconsin.
Practice Location
Address: 135 Dauphin St, Green Bay, WI 54301
Phone: (920) 448-2806
Business Location
Address: 1900 Libal St, Green Bay, WI 54301
Phone: (920) 448-2800
Fax: (920) 448-2850
Taxonomy
Taxonomy Code: 3416L0300X
License Number: 6001005
License Number of State: WI
Primary Taxonomy Switch: Y
Enumeration Date: 6/27/2005
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