MEDICARE: DR. HAROLD F ANSCHUETZ 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
1	207Q00000X	Family Medicine Physician	21599-020	WI

General Provider Information

NPI Number	:	1427008648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD F ANSCHUETZ MD

Provider Business Mailing Address
First Line	:	W6224 APPLE LN
Second Line	:
City	:	FORT ATKINSON
State	:	WI
Zip	:	53538-8101
Country	:	US
Telephone Number	:	920-563-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	W6224 APPLE LANE
Second Line	:
City	:	FORT ATKINSON
State	:	WI
Zip	:	53538-3145
Country	:	US
Telephone Number	:	920-563-7500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	01/10/2013

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