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NPI Code Detail

MEDICARE: HEALTHY WOMEN LLC

MEDICARE: HEALTHY WOMEN LLC
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
1207R00000XInternal Medicine Physician27862-020WI

General Provider Information

NPI Number : 1104169226
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY WOMEN LLC
Provider Business Mailing Address
First Line : 2955 TRIVERTON PIKE DR
Second Line :
City : FITCHBURG
State : WI
Zip : 53711-5807
Country : US
Telephone Number : 608-227-7007
Fax Number : 608-227-7027
Provider Business Practice Location Address
First Line : 2955 TRIVERTON PIKE DR
Second Line :
City : FITCHBURG
State : WI
Zip : 53711-5807
Country : US
Telephone Number : 608-227-7007
Fax Number : 608-227-7027
Authorized Official
Title or Position : OWNER
Name : JULIE A SCHURR
Credential : M.D.
Telephone Number : 608-227-7007
Provider Enumeration Date : 03/27/2013
Last Update Date : 03/27/2013

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Directions to “HEALTHY WOMEN LLC ” Practice Location

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