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 |
Popular Providers
-
Menendez, Jorge Luis
7744 Broadway St Ste 210, San Antonio TX 78209-3262 -
Mobley, David Winton
5101 Gate Parkway Suite 2, Jacksonville FL 32256-7276 -
Schmitt, Eugene H
704 S Webster Ave Ste 401, Green Bay WI 54301-3531 -
Hunsicker, Lisa M
7750 S Broadway Suite 150, Littleton CO 80122 -
Duffy, Frederick J
7777 Forest Ln Ste C504, Dallas TX 75230 -
Outlaw, Kitti K
3715 Dauphin St Ste 6A , Mobile AL 36608-1774 -
Kapp, Daniel L
1500 N Dixie Hwy Ste 304, West Palm Beach FL 33401-2717 -
Back, Lyle Marnin
1942 Route 70 E , Cherry Hill NJ 08003-2118