Healthcare Provider Details

I. General information

NPI: 1215047741
Provider Name (Legal Business Name): DEBORAH T BIEGING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W CENTRAL ST
CHIPPEWA FLS WI
54729-2345
US

IV. Provider business mailing address

431 WOODRIDGE CT
CHIPPEWA FALLS WI
54729-2057
US

V. Phone/Fax

Practice location:
  • Phone: 715-720-1443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number27167
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: