Healthcare Provider Details

I. General information

NPI: 1508797762
Provider Name (Legal Business Name): GUO PERIPHERAL NERVE CENTER, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 HOLMGREN WAY
GREEN BAY WI
54304-5224
US

IV. Provider business mailing address

PO BOX 5366
DE PERE WI
54115-5366
US

V. Phone/Fax

Practice location:
  • Phone: 920-500-3020
  • Fax: 920-500-1950
Mailing address:
  • Phone: 920-500-3020
  • Fax: 920-500-1950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANQING GUO
Title or Position: OWNER
Credential: MD
Phone: 920-530-2455