IndividualActive
Philip Skummer
NPI 1104386911 · Vascular & Interventional Radiology Physician · Green Bay, WI
Provider details
- NPI number
- 1104386911
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 76025-20 (WI)
Mailing address
9200 W Wisconsin Ave Rm 2803
Milwaukee, WI 53226-3522
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.