MEDICARE: FERN SPRINGS 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	207R00000X	Internal Medicine Physician	33688	WI

General Provider Information

NPI Number	:	1477607406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERN SPRINGS MD

Provider Business Mailing Address
First Line	:	2909 E PARK AVE
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-3604
Country	:	US
Telephone Number	:	715-720-2850
Fax Number	:

Provider Business Practice Location Address
First Line	:	2909 E PARK AVE
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-3604
Country	:	US
Telephone Number	:	715-720-2850
Fax Number	:

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1437398385 — MRS. GEORGINA ANN BARATTA ANP
Practice Location Address:

4640 THERESA LN
NIAGARA FALLS, NY
14305-3604

Practice Phone: 716-523-6776
Practice Fax:

1518299866 — PAMELLA MAE ROZAN LCPC
Practice Location Address:

513 1ST AVE S , CENTER FOR MENTAL HEALTH/PACT
GREAT FALLS, MT
59401-3604

Practice Phone: 406-727-4315
Practice Fax: 406-727-4318

1275838849 — MS. CYNTHIA W OURS L.M.T.
Practice Location Address:

2252 STONE CREEK TRL
CUYAHOGA FALLS, OH
44223-3604

Practice Phone: 330-929-7307
Practice Fax:

1639572175 — KATHLEEN REED TILTON LCPC
Practice Location Address:

513 1ST AVE S , CENTER FOR MENTAL HEALTH
GREAT FALLS, MT
59401-3604

Practice Phone: 406-727-4315
Practice Fax: 406-791-9629

1104287267 — SHAWN LEE WINTERS
Practice Location Address:

513 1ST AVE S , CENTER FOR MENTAL HEALTH/PACT
GREAT FALLS, MT
59401-3604

Practice Phone: 406-727-4315
Practice Fax: 406-791-9629

Directions to “ FERN SPRINGS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.