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NPI Code Detail

MEDICARE: CAMEN HOFER

MEDICARE: CAMEN HOFER
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
1174N00000XLactation Consultant (Non-RN)L-309118WI

General Provider Information

NPI Number : 1114873577
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMEN HOFER
Provider Business Mailing Address
First Line : 111 W JACKSON ST FL 3
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54495-2702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 W JACKSON ST FL 3
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54495-2702
Country : US
Telephone Number : 715-421-8951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ CAMEN HOFER ” Practice Location

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