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NPI Code Detail

MEDICARE: R ANN SIEVERS SLP

MEDICARE: R ANN SIEVERS SLP
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
1235Z00000XSpeech-Language Pathologist1177-154WI

General Provider Information

NPI Number : 1346466547
Entity Type Code : Individual
Provider Name (Legal Business Name) : R ANN SIEVERS SLP
Provider Business Mailing Address
First Line : 1704 INDIANWOOD LN
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-6930
Country : US
Telephone Number : 262-650-2227
Fax Number :
Provider Business Practice Location Address
First Line : 1701 SHARP RD
Second Line :
City : WATERFORD
State : WI
Zip : 53185-5214
Country : US
Telephone Number : 262-534-7297
Fax Number : 262-534-7257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 09/02/2009

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