Healthcare Provider Details
I. General information
NPI: 1013857846
Provider Name (Legal Business Name): TRB CLEANING LLC D.B.A BIO-ONE GREEN BAY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3640 STREAM RD
SUAMICO WI
54313-8312
US
IV. Provider business mailing address
101 S MILITARY AVE # 134
GREEN BAY WI
54303-2409
US
V. Phone/Fax
- Phone: 920-228-2461
- Fax:
- Phone: 920-228-2461
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRAYDON
EDWARD
BUDZ
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 920-228-2461