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NPI Code Detail

MEDICARE: REBECCA A THOUSAND MD

MEDICARE: REBECCA A THOUSAND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician44984WI

General Provider Information

NPI Number : 1053309724
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA A THOUSAND MD
Provider Business Mailing Address
First Line : 1821 S STOUGHTON RD
Second Line :
City : MADISON
State : WI
Zip : 53716-2257
Country : US
Telephone Number : 608-260-6000
Fax Number : 608-260-6835
Provider Business Practice Location Address
First Line : 1821 S STOUGHTON RD
Second Line :
City : MADISON
State : WI
Zip : 53716-2257
Country : US
Telephone Number : 608-260-6000
Fax Number : 608-260-6835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 12/14/2020

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