Utrie, John W

Utrie, John W is an individual health care provider with primary practice located at 2845 Greenbrier Rd #450, Green Bay WI 54308-8900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as his primary health care specialty. Utrie, John W can be contacted via phone (920) 288-8510.

Contact Information

Primary practice address
2845 Greenbrier Rd #450 Green Bay WI 54308-8900
Phone: (920) 288-8510
Fax: (920) 288-8511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 29590 Wisconsin

Profile Details

NPI number 1154438265
LBN Legal business name Utrie, John W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Nov 30th, 2021 - about 4 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 1154438265 NPPES
Wisconsin MEDICAID 31865600

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