MEDICARE: WILLIAM J. ENRIGHT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	48689	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043269806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM J. ENRIGHT M.D.

Provider Business Mailing Address
First Line	:	2223 LIME KILN RD STE 1
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-6213
Country	:	US
Telephone Number	:	920-430-8113
Fax Number	:	920-430-8122

Provider Business Practice Location Address
First Line	:	2223 LIME KILN RD
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-6213
Country	:	US
Telephone Number	:	920-468-0246
Fax Number	:	920-432-9309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	07/22/2022

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