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NPI Code Detail

MEDICARE: ANGELA S RICE AU.D.

MEDICARE: ANGELA S RICE AU.D.
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
1231H00000XAudiologist491-156WI

General Provider Information

NPI Number : 1740217272
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA S RICE AU.D.
Provider Business Mailing Address
First Line : 2851 UNIVERSITY AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-5855
Country : US
Telephone Number : 920-431-2500
Fax Number :
Provider Business Practice Location Address
First Line : 2851 UNIVERSITY AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-5855
Country : US
Telephone Number : 920-431-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/30/2023

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