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General NPI Number Information
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NPI Number | 1972450989
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Entity Type | Organization
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Legal Business Name | REFORMEDICINE SC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 660 VANDEBERG ST STE A
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City | BALDWIN
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State | WI
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Zip | 54002-3251
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Country | US
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Telephone | 715-514-2827
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Fax |
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Provider Business Mailing Address
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Address Line | 3004 GOLF RD STE 100
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City | EAU CLAIRE
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State | WI
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Zip | 54701-8794
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID J USHER
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Credential | MD
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Telephone | 715-514-2827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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