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NPI Code Detail

MEDICARE: RICHARD S VEIGA MD SC

MEDICARE: RICHARD S VEIGA MD SC
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861434631
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD S VEIGA MD SC
Provider Business Mailing Address
First Line : 200 E WASHINGTON ST
Second Line : P O BOX 8031
City : APPLETON
State : WI
Zip : 54911-5490
Country : US
Telephone Number : 800-236-1463
Fax Number : 920-739-0124
Provider Business Practice Location Address
First Line : 800 RIVERSIDE DR
Second Line :
City : WAUPACA
State : WI
Zip : 54981-1943
Country : US
Telephone Number : 715-258-1206
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD S VEIGA
Credential : M.D.
Telephone Number : 715-258-1206
Provider Enumeration Date : 06/13/2006
Last Update Date : 10/30/2007

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