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

Q: What is Diane Fenster's NPI number?

The NPI number for Diane Fenster is 1467485748. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Diane Fenster's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Fenster was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(920) 496-4700

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

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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.

MRS. JENNA MAE HANSON PA-C

Physician Assistant (Medical)