Dierberg, William J
Dierberg, William J is an individual health care provider with primary practice located at 2605 Development Dr , Green Bay WI 54311-4240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Dierberg, William J can be contacted via phone (920) 288-8240.Contact Information
Primary practice address
2605 Development Dr
Green Bay WI 54311-4240
Phone: (920) 288-8240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 31110-020 | Wisconsin |
Profile Details
| NPI number | 1013910785 |
|---|---|
| LBN Legal business name | Dierberg, William J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013910785 | NPPES |
| Wisconsin | MEDICAID | 31812800 | |
| Wisconsin | Other | 31110-020 |
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