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

Dr. William J. Mallory, MD

Individual provider Diagnostic Radiology Physician · NPI 1083630776

Dr. William J. Mallory, MD is a Diagnostic Radiology in Green Bay, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1978, 48 years ago. Practices with Riverside Radiology and Interventional Associates Inc, a 245-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
48
Trained at
University of Wisconsin School of Medicine
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

2941 S Ridge Rd
Green Bay, WI 54304-5517
Phone: (920) 336-4096
Fax: (920) 336-8093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 22719-020 (WI)

Record details

NPI number1083630776
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESJune 2, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Riverside Radiology And Interventional Associates Inc — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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