Dodge County

Specialty details in registry · Juneau, WI

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At a glance

199 County Road Df 3Rd Floor, Juneau, WI 53032-9512

NPPES record updated Mar 16, 2017. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

199 County Road Df 3Rd Floor
Juneau, WI 53032-9512
Professional details: NPI, taxonomy & registry record
NPI1003992207
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Oct 31, 2006
Record updated
Mar 16, 2017
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251B00000X

License reported: 2100 WI

Specialty details in registry

251S00000X · Primary

License reported: 2100 WI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

199 County Road Df 3Rd Floor
Juneau, WI 53032-9512
Phone
(920) 386-4094
Fax
(920) 386-3812
Mailing address
199 COUNTY ROAD DF FL 3

JUNEAU, WI 530399512
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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