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General NPI Number Information
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NPI Number | 1043699036
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Entity Type | Organization
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Legal Business Name | UROLOGY ASSOCIATES OF GREEN BAY, SC
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 2720 CAHILL RD
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City | MARINETTE
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State | WI
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Zip | 54143-3892
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Country | US
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Telephone | 715-732-3420
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Fax | 715-732-3425
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Provider Business Mailing Address
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Address Line | 1385 W MAIN AVE
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City | DE PERE
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State | WI
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Zip | 54115-9366
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Country | US
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Telephone | 920-433-9400
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Fax | 920-433-9409
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Authorized Official
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Title or Position | OWNER / UROLOGIST
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Name | DR. SEAN MCADAMS
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Credential | MD
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Telephone | 920-433-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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