AHMET DERVISH

GREEN BAY, WI
NPI1104854462
Former NameAHMET DERVISOGULLARI
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: WI  33794)
Enumeration Date2006-06-28
Last Update Date2008-08-29
Business Address
-- AHMET DERVISH MD
2845 GREENBRIER RD STE 340
GREEN BAY, WI 54311-6519
Phone number: 920-288-8380
Mailing Address
-- AHMET DERVISH MD
2845 GREENBRIER RD STE 340 PO BOX 8900
GREEN BAY, WI 54308-8900
Phone number: 920-288-8380