| Robert David Southwick, MD | |
|
2253 W Mason St, Green Bay, WI 54303-4706 | |
| (920) 327-7300 | |
| Not Available |
| Full Name | Robert David Southwick |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2253 W Mason St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417975087 | NPI | - | NPPES |
| 32424200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 37060 (Wisconsin) | Primary |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Entity Name | Obhg Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699273862 PECOS PAC ID: 0840551750 Enrollment ID: O20180309000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert David Southwick, MD 2253 W Mason St, Green Bay, WI 54303-4706 Ph: (920) 327-7300 | Robert David Southwick, MD 2253 W Mason St, Green Bay, WI 54303-4706 Ph: (920) 327-7300 |
Edward G Vogel, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869 | |
Dr. Michael J Brockman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #420, Green Bay, WI 54308 Phone: 920-288-8400 Fax: 920-288-8461 | |
Dr. John Cornelius Gallagher, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #480, Green Bay, WI 54308 Phone: 920-288-8400 Fax: 920-288-8463 | |
Michael C O'toole, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2641 Development Drive, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869 | |
Anna Maria Guanzon, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Megan E Temp, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869 | |
Rebecca Caroline Pierson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 |