Jefferson County
Specialty details in registry · Jefferson, WI
At a glance
1541 Annex Rd, Jefferson, WI 53549
NPPES record updated Sep 12, 2024. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.
Practice location
1541 Annex RdJefferson, WI 53549
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0801X
- Enumeration date
- Oct 18, 2006
- Record updated
- Sep 12, 2024
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QM0801X · Primary
License reported: 1449 WI
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1541 Annex RdJefferson, WI 53549
- Phone
- (920) 674-3105
- Fax
- (920) 674-6113
Mailing address
1541 ANNEX RDJEFFERSON, WI 53549
Information may be outdated or incomplete.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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