IndividualActive
Terence Edgar, MD
NPI 1679506091 · Neurology with Special Qualifications in Child Neurology Physician · Green Bay, WI
Provider details
- NPI number
- 1679506091
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 34917-20 (WI)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 34917-20 (WI)
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
- 2006-07-09
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.