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NPI Code Detail

MEDICARE: DR. ANNA DEPIES

MEDICARE: DR. ANNA DEPIES
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
1183500000XPharmacist19104-40WI

General Provider Information

NPI Number : 1679173439
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNA DEPIES
Provider Business Mailing Address
First Line : 10067 S MACINTOSH LN
Second Line :
City : OAK CREEK
State : WI
Zip : 53154-5690
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 250 W HOLT AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-3200
Country : US
Telephone Number : 414-769-8990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2020
Last Update Date : 10/29/2020

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