IndividualActive
Fred Walbrun, MD
NPI 1306848700 · Geriatric Medicine (Internal Medicine) Physician · Green Bay, WI
Provider details
- NPI number
- 1306848700
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 22566 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1715 Dousman St
Green Bay, WI 54303-3211
Phone: (920) 272-1570
Fax: (920) 431-1823
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19070
Green Bay, WI 54307-9070
Registry dates
- Enumerated
- 2005-08-15
- Last updated
- 2016-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.