KEVIN WAYNE SANDMIRE

GREEN BAY, WI
NPI1679591911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  27497)
Enumeration Date2006-07-17
Last Update Date2008-08-13
Business Address
-- KEVIN WAYNE SANDMIRE MD
1715 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-496-4700
Mailing Address
-- KEVIN WAYNE SANDMIRE MD
PO BOX 19070 PREVEA HEALTH
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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