Dzwonkowski, Peter

Dzwonkowski, Peter is an individual health care provider with primary practice located at 1726 Shawano Ave , Green Bay WI 54303-3216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dzwonkowski, Peter can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1726 Shawano Ave Green Bay WI 54303-3216
Fax: (920) 429-1799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 41990 Wisconsin

Profile Details

NPI number 1790701852
LBN Legal business name Dzwonkowski, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 23rd, 2008 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790701852 NPPES
Wisconsin MEDICAID 33335300

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