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NPI Code Detail

MEDICARE: DR. WILLIAM JOSEPH REYNDERS M.D.

MEDICARE: DR. WILLIAM JOSEPH REYNDERS 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
1207W00000XOphthalmology Physician56158-20WI

General Provider Information

NPI Number : 1134440670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOSEPH REYNDERS M.D.
Provider Business Mailing Address
First Line : 1035 KEPLER DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-8320
Country : US
Telephone Number : 920-490-9046
Fax Number : 920-405-8005
Provider Business Practice Location Address
First Line : 2253 W MASON ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-4706
Country : US
Telephone Number : 920-327-7000
Fax Number : 920-327-7005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2010
Last Update Date : 05/19/2026

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