IndividualActive
Fazal Raziq, MD
NPI 1265928915 · Pulmonary Disease Physician · Green Bay, WI
Provider details
- NPI number
- 1265928915
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301115856 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1821 S Webster Ave
Green Bay, WI 54301-2253
Phone: (920) 496-4700
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19070
Green Bay, WI 54307-9070
Registry dates
- Enumerated
- 2018-07-05
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.