DIANE LIND FENSTER MD
NPI 1467485748
Pediatrics in Green Bay, WI

Active since July 09, 2006
1715 DOUSMAN ST, GREEN BAY, WI 54303(920) 496-4700(920) 436-1349 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Diane Lind Fenster Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE LIND FENSTER MD (NPI 1467485748) is an individual pediatrics provider in Green Bay, Wisconsin, licensed in Wisconsin (24154) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1467485748
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDIANE LIND FENSTERCredential: MD
Location Address1715 DOUSMAN STGreen Bay, WI 54303-3211
Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 436-1349
Fax(920) 436-1349
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 23, 2008
NPI 1467485748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WI · 24154
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1715 DOUSMAN ST, Green Bay, WI 54303

Other Identifiers 3

Medicaid30405800WI
Medicare UPINB52747
Medicare ID-Type Unspecified07125-0001

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1715 DOUSMAN ST
GREEN BAY, WI 54303
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Pediatrics
1715 DOUSMAN ST
GREEN BAY, WI 54303
Pediatrics
1715 DOUSMAN ST
GREEN BAY, WI 54303
Advanced Practice Midwife
1715 DOUSMAN ST
GREEN BAY, WI 54303
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Physician Assistant
1715 DOUSMAN ST
GREEN BAY, WI 54303
Internal Medicine
1715 DOUSMAN ST
GREEN BAY, WI 54303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467485748, enumerated as an "individual" on July 09, 2006.

The provider is located at 1715 DOUSMAN ST GREEN BAY, WI 54303 and the phone number is (920) 496-4700.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.