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NPI Code Detail

MEDICARE: JANET M DABSON MD

MEDICARE: JANET M DABSON MD
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
1207Q00000XFamily Medicine Physician44033-20WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00944158DB7792OTHERWIRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3FECHTJANOTHERWIMERCYCARE INSURANCE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083797716
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET M DABSON MD
Provider Business Mailing Address
First Line : 3400 DEERFIELD DR
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-3557
Country : US
Telephone Number : 608-314-3600
Fax Number : 608-314-3601
Provider Business Practice Location Address
First Line : 3400 DEERFIELD DR
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-3557
Country : US
Telephone Number : 608-314-3600
Fax Number : 608-314-3601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 09/26/2016

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