IndividualActive
Ahmet Dervish, MD
NPI 1104854462 · Interventional Pain Medicine Physician · Green Bay, WI
Provider details
- NPI number
- 1104854462
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 33794 (WI)
Practice location
2845 Greenbrier Rd Ste 340
Green Bay, WI 54311-6519
Phone: (920) 288-8380
Fax: (920) 288-8385
Mailing address
2845 Greenbrier Rd Ste 340
Green Bay, WI 54308-8900
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2008-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.