Spohn, Gina Pietras

Spohn, Gina Pietras is an individual health care provider with primary practice located at 2806 Riverview Dr , Green Bay WI 54313-6717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Spohn, Gina Pietras can be contacted via phone (920) 498-7546.

Contact Information

Primary practice address
2806 Riverview Dr Green Bay WI 54313-6717
Phone: (920) 498-7546
Fax: (920) 569-4129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME136386 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 83317-20 Wisconsin

Profile Details

NPI number 1952729774
LBN Legal business name Spohn, Gina Pietras
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2014
Last updated May 23rd, 2024 - about 2 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 1952729774 NPPES
Florida MEDICAID 100523700

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