DR. MERLE L TEETZEN (NPI# 1962519066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962519066 |
| Entity Type | Individual |
| Full Name | DR. MERLE L TEETZEN |
| Credential | MD |
| Practice Address |
2845 Greenbrier Rd 1st Fl Green Bay WI 54308 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9202888100 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 4611 | ND | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
21870 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2845 GREENBRIER RD 1ST FL |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1659978872 | Molly Linzmeier | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-10-01 |
| 1588279756 | Toni M Pullen | Massage Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-09-14 |
| 1700413283 | Michelle Yvonne Degrave | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-25 |
| 1588299697 | Amanda Marie Steinfeldt | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-09 |
| 1659906113 | Kelly Jane Delzer | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-05 |
| 1750915815 | Jennifer Maronek | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-27 |
| 1538792379 | Sierra R Milosch | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-20 |
| 1205473584 | Mackenzie L Zuleger | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-12-05 |
| 1588214860 | Jessica S Thompson | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417178443 | Todd Harold Bruss | Specialist/Technologist | 1160 Kepler Dr, Green Bay, WI 54308-8970 | 2007-05-01 |
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235630625 | The Cervical Spine Institute and Neuromonitoring, LLC | Psychiatry & Neurology | 2221 S Webster Ave # 268, Green Bay, WI 54301-2158 | 2018-02-22 |
| 1639194301 | Celeste Elaine Case | Psychiatry & Neurology | 725 S Van Buren St, Suite 201, Green Bay, WI 54301-3585 | 2006-07-13 |
| 1558386128 | Neurology Consultants of Ne | Psychiatry & Neurology | 720 S Van Buren Street, Suite 201, Green Bay, WI 54301-3585 | 2006-07-13 |
| 1235164229 | Heather Alissa Stanko | Psychiatry & Neurology | 725 S Webster Suite 201, Neurology Consultants, Green Bay, WI 54301 | 2006-07-11 |
| 1225420664 | Bellin Memorial Hospital Inc | Psychiatry & Neurology | 725 S Webster Ave, Suite 201, Green Bay, WI 54301-3500 | 2015-02-23 |
| 1831486828 | Aaron H Bubolz | Psychiatry & Neurology | 2845 Greenbrier Rd, 1st Floor, Green Bay, WI 54311-6519 | 2011-06-29 |
| 1871815225 | M. Ziad Darkhabani | Psychiatry & Neurology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2010-02-25 |
| 1407010754 | Bala Koteswara Rao Davuluri | Psychiatry & Neurology | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2008-07-16 |
| 1790948073 | Stacey Gruber | Psychiatry & Neurology | 725 S Webster Ave, Suite 201, Green Bay, WI 54301-3500 | 2008-07-07 |
| 1114942604 | David K Kaufman | Psychiatry & Neurology | 725 S Webster Ave, Suite 201, Green Bay, WI 54301-3500 | 2006-07-13 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.