IndividualActive
Jon Brandt, MD
NPI 1336168137 · Pediatric Hematology & Oncology Physician · Green Bay, WI
Provider details
- NPI number
- 1336168137
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40681 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
835 S Van Buren St
Green Bay, WI 54301-3526
Phone: (920) 496-4700
Fax: (920) 431-3189
Approximate (ZIP-level) locationGet directions
Mailing address
644 S Jackson St
Green Bay, WI 54301-3512
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.