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

Green Bay Emergency Physicians, LLC

Organization Emergency Medicine Physician · NPI 1083662712

Green Bay Emergency Physicians, LLC is an Emergency Medicine Physician in Green Bay, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone: (414) 290-6718
Fax: (414) 290-6755
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1083662712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (973) 251-1132
NPI enumeratedMay 5, 2006
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815

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