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NPI Code Detail

MEDICARE: EDWARD DUNBAR

MEDICARE:   EDWARD  DUNBAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician65664WI

General Provider Information

NPI Number : 1053653469
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD DUNBAR
Provider Business Mailing Address
First Line : 4530 PENNY LN
Second Line :
City : DODGEVILLE
State : WI
Zip : 53533-8971
Country : US
Telephone Number : 608-333-3193
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-1473
Country : US
Telephone Number : 608-263-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2013
Last Update Date : 01/25/2021

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Directions to “ EDWARD DUNBAR ” Practice Location

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