Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 57336-20 | WI |
NPI | 1023264272 |
---|---|
Provider Name | Anterpreet Singh |
First Address | Green Bay, WI 54307-9070 |
Second Address | Green Bay, WI 54311-8303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 12/01/2017 |