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

Individual provider Family Medicine Physician · NPI 1104800911

Izabela J Ditchen, MD is a Family Practice in Green Bay, Wisconsin. Qualified in 1996, 30 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
30
Licensed in
WI
In the registry since
2005
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

2714 Riverview Dr
Green Bay, WI 54313-6715
Phone: (920) 430-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 744 S Webster Ave, Green Bay, WI 54301-3505 — (920) 433-3500
  • 1630 Commanche Ave, Green Bay, WI 54313-5753 — (920) 430-4700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45158 (WI)

Record details

NPI number1104800911
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESDecember 17, 2018
Mailing addressPo Box 22487, Green Bay, WI 54305-2487

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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