Dr CARISSA A COOROUGH is a female medical professional, specializing in Physician Assistant. She graduated in 2011.
UROLOGY ASSOCIATES OF GREEN BAY, S.C.
720 S VAN BUREN ST
SUITE 301
GREEN BAY
WI
543013534
Tel: 9204339400
| Npi | 1588949333 |
| Pac Id | 6507031432 |
| Professional Enrollment Id | I20111205000688 |
| Last Name | COOROUGH |
| First Name | CARISSA |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | UROLOGY ASSOCIATES OF GREEN BAY, S.C. |
| Group Practice Pac Id | 1658350616 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 720 S VAN BUREN ST |
| Line 2 Street Address | SUITE 301 |
| Marker Of Address Line 2 Suppression | |
| City | GREEN BAY |
| State | WI |
| Zip Code | 543013534 |
| Phone Number | 9204339400 |
| Hospital Affiliation Ccn 1 | 520049 |
| Hospital Affiliation Lbn 1 | BELLIN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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