Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Side Family Practice SC

Organization Family Medicine Physician · NPI 1861527863

East Side Family Practice SC provides Family Medicine Physician services in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

424 S Monroe Ave Ste 106
Green Bay, WI 54301-4054 Not confirmed with CMS for 15 years — call before visiting
Phone: (920) 437-4366
Fax: (920) 437-0954
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 26550 (WI)
General Practice Physician Taxonomy 208D00000X · Licence 26550 (WI)

Record details

NPI number1861527863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Dobson — President · (920) 437-4366
NPI enumeratedFebruary 22, 2007
Last updated in NPPESOctober 25, 2010
Mailing address424 S Monroe Ave Ste 106, Green Bay, WI 54301-4054

Other providers in Green Bay