Diane M Mayland
Otolaryngologist (ENT Doctor)
2845 Greenbrier Rd Ste 220
Green Bay
, Wisconsin 54311-6519
Diane M Mayland
Otolaryngologist (ENT Doctor)
2845 Greenbrier Rd Ste 220
Green Bay
, Wisconsin 54311-6519
(920) 288-8235
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Diane M Mayland
- 2845 Greenbrier Rd Ste 220 Po Box 8900
- Green Bay, WI
- Zip : 54308-8900
- Fax : (920) 288-8235
- Phone : (920) 288-8230
Second Address
- Diane M Mayland
- 2845 Greenbrier Rd Ste 220
- Green Bay, WI
- Zip : 54311-6519
- Fax : (920) 288-8235
- Phone : (920) 288-8230
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 28780 | WI |
National Provider Identifier
| NPI | 1083650907 |
|---|---|
| Provider Name | Diane M Mayland |
| First Address | Green Bay, WI 54308-8900 |
| Second Address | Green Bay, WI 54311-6519 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2006 |
| Last Update Date | 03/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 040017579 | RAILROAD (01) | WI |
| 104541671 | (05) | MI |
| 31777000 | (05) | WI |
| F14700 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.