Search › Wisconsin › 207VM0101X
Jason Retzke, M.D
NPI 1710156377 · on the registry since 2008
Practice
- Address
- 704 S Webster Ave
Green Bay, WI 54301 - Phone
- (920) 338-6868
- Fax
- (920) 338-6869
- Organisation at this address
- Daniel G Koster Md Sc
New Moms Of Green Bay Sc
New Dermatology Group Ltd
Green Bay Surgical Center
Bellin Memorial Hospital IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Additional practice sites
- 3535 Olentangy River Rd, Columbus, OH
- 2820 Roosevelt Rd, Marinette, WI
- 820 Arbutus Ave, Oconto, WI
Registry record
- Primary taxonomy
- 207VM0101X
207VM0101X
- Also registered as
- 207VM0101X
207V00000X - Licence states on file
- OH, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-29
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