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NPI 1972450989

NPI 1972450989 : REFORMEDICINE SC : BALDWIN, WI

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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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