SearchWisconsin183500000X

Jack Kumbalek

NPI 1558040493 · on the registry since 2023

Practice

Address
500 E Walnut St
Green Bay, WI 54301
Phone
(920) 785-5925
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin