Healthcare Provider Details

I. General information

NPI: 1841827391
Provider Name (Legal Business Name): MOLLY FLANAGAN SYNOWICZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 ILLINOIS AVE
STEVENS POINT WI
54481-3112
US

IV. Provider business mailing address

824 ILLINOIS AVE
STEVENS POINT WI
54481-3112
US

V. Phone/Fax

Practice location:
  • Phone: 715-346-5000
  • Fax:
Mailing address:
  • Phone: 715-346-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number8766420
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: