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NPI Code Detail

MEDICARE: AMY NELSON PLUMB MD

MEDICARE: AMY NELSON PLUMB 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
1208M00000XHospitalist Physician30609WI
2208000000XPediatrics Physician30609WI

General Provider Information

NPI Number : 1114996113
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY NELSON PLUMB MD
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5249 E TERRACE DR
Second Line :
City : MADISON
State : WI
Zip : 53718-8339
Country : US
Telephone Number : 608-265-1212
Fax Number : 608-265-0935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 01/11/2021

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Directions to “ AMY NELSON PLUMB MD” Practice Location

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