Woodbridge, Brian S

Woodbridge, Brian S is an individual health care provider with primary practice located at 2253 W Mason St , Green Bay WI 54303. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Woodbridge, Brian S can be contacted via phone (920) 327-7300.

Contact Information

Primary practice address
2253 W Mason St Green Bay WI 54303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 45824020 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 45824020 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45824 Wisconsin

Profile Details

NPI number 1720055817
LBN Legal business name Woodbridge, Brian S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Nov 24th, 2021 - about 3 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 1720055817 NPPES
Wisconsin MEDICAID 34397800

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