Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 420-025 | WI |
NPI | 1043227259 |
---|---|
Provider Name | Dr. Stephen Arbes |
First Address | Green Bay, WI 54302-3250 |
Second Address | Green Bay, WI 54302-3250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T61375 | (02) | WI |