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

Vituity-Wisconsin Em SC

Organization Emergency Medicine Physician · NPI 1558138255

Vituity-Wisconsin Em SC is an Emergency Medicine Physician in Green Bay, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone: (920) 498-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1558138255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Birdsall — Vp And Secretary · (510) 350-2600
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address1601 Cummins Dr Ste D, Modesto, CA 95358-6411

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