Dr. Ruth Callaway Warren
Medical Oncology
1726 Shawano Ave
Green Bay
, Wisconsin 54303-3216
Dr. Ruth Callaway Warren
Medical Oncology
1726 Shawano Ave
Green Bay
, Wisconsin 54303-3216
(920) 884-3144
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Ruth Callaway Warren
- 1726 Shawano Ave
- Green Bay, WI
- Zip : 54303-3216
- Fax : (920) 884-3144
- Phone : (920) 884-3135
Second Address
- Dr. Ruth Callaway Warren
- 1726 Shawano Ave
- Green Bay, WI
- Zip : 54303-3216
- Fax : (920) 884-3144
- Phone : (920) 884-3135
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 50362 | WI |
| N | 207RX0202X | Medical Oncology | 5101018539 | MI |
National Provider Identifier
| NPI | 1124096185 |
|---|---|
| Provider Name | Dr. Ruth Callaway Warren |
| First Address | Green Bay, WI 54303-3216 |
| Second Address | Green Bay, WI 54303-3216 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 20/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100004011 | (05) | WI |
| 1124096185 | (05) | MI |
| 1124096185 | BCBS ANTHEM (01) | 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.