Ralph Joseph Vardis
Pediatric Critical Care Doctor
835 S Van Buren St
Green Bay
, Wisconsin 54301-3526
Ralph Joseph Vardis
Pediatric Critical Care Doctor
835 S Van Buren St
Green Bay
, Wisconsin 54301-3526
(920) 433-8569
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Ralph Joseph Vardis
- Po Box 19070 Prevea Health
- Green Bay, WI
- Zip : 54307-9070
- Fax : (920) 433-8569
- Phone : (920) 496-4700
Second Address
- Ralph Joseph Vardis
- 835 S Van Buren St
- Green Bay, WI
- Zip : 54301-3526
- Fax : (920) 433-8569
- Phone : (920) 496-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 41195 | WI |
National Provider Identifier
| NPI | 1073548616 |
|---|---|
| Provider Name | Ralph Joseph Vardis |
| First Address | Green Bay, WI 54307-9070 |
| Second Address | Green Bay, WI 54301-3526 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 14/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 32610600 | (05) | WI |
| G01485 | (02) |
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.