MEDICARE: ANNETTE FALLER 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
1	207R00000X	Internal Medicine Physician	37127	WI

General Provider Information

NPI Number	:	1295730257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE FALLER MD

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	715-838-5222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 MAIN STREET S.
Second Line	:
City	:	HOLMEN
State	:	WI
Zip	:	54636-9337
Country	:	US
Telephone Number	:	608-526-3351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	05/09/2025

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