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General NPI Number Information
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NPI Number | 1669053781
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Entity Type | Individual
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Provider Name | MACKENZIE ERIN DELZER MD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 744 S WEBSTER AVE
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City | GREEN BAY
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State | WI
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Zip | 54301-3505
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Country | US
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Telephone | 920-433-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23400
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City | GREEN BAY
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State | WI
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Zip | 54305-3400
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Country | US
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Telephone | 920-433-3500
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Fax |
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 85962-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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