Mayland, Diane M

Mayland, Diane M is an individual health care provider with primary practice located at 2845 Greenbrier Rd Ste 220 , Green Bay WI 54311-6519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Mayland, Diane M can be contacted via phone (920) 288-8230.

Contact Information

Primary practice address
2845 Greenbrier Rd Ste 220 Green Bay WI 54311-6519
Phone: (920) 288-8230
Fax: (920) 288-8235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 28780 Wisconsin

Profile Details

NPI number 1083650907
LBN Legal business name Mayland, Diane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Sep 3rd, 2008 - about 18 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 1083650907 NPPES
Wisconsin Other 040017579 RAILROAD
Wisconsin MEDICAID 104541671 RAILROAD
Wisconsin MEDICAID 31777000 RAILROAD

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