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General NPI Number Information
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NPI Number | 1629046404
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Entity Type | Individual
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Provider Name | MICHELE J GEIGER-BRONSKY MSN APNP BC
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 312 N 5TH AVENUE
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City | STURGEON BAY
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State | WI
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Zip | 54235
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Country | US
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Telephone | 920-746-9444
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Fax | 920-746-9466
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Provider Business Mailing Address
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Address Line | PO BOX 85 312 N 5TH AVE
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City | STURGEON BAY
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State | WI
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Zip | 54235
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Country | US
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Telephone | 920-746-9444
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Fax | 920-746-9466
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1029033
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License Number State | WI
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