Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Side Family Practice SC

Organization Family Medicine Physician · NPI 1861527863

East Side Family Practice SC is a Family Medicine Physician in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

424 S Monroe Ave Ste 106
Green Bay, WI 54301-4054
Phone: (920) 437-4366
Fax: (920) 437-0954
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 26550 (WI)
General Practice Physician Taxonomy 208D00000X · Licence 26550 (WI)

Record details

NPI number1861527863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Dobson — President · (920) 437-4366
NPI enumeratedFebruary 22, 2007
Last updated in NPPESOctober 25, 2010
Mailing address424 S Monroe Ave Ste 106, Green Bay, WI 54301-4054

Other providers in Green Bay