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

Ahmet Dervish, MD

Individual provider Interventional Pain Medicine Physician · NPI 1104854462

Ahmet Dervish, MD is an Interventional Pain Medicine Physician in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2845 Greenbrier Rd Ste 340
Green Bay, WI 54311-6519
Phone: (920) 288-8380
Fax: (920) 288-8385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 33794 (WI)

Record details

NPI number1104854462
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESAugust 29, 2008
Mailing address2845 Greenbrier Rd Ste 340, Po Box 8900, Green Bay, WI 54308-8900

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