MEDICARE: NEW INFECTIOUS DISEASES

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	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1467228353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW INFECTIOUS DISEASES

Provider Business Mailing Address
First Line	:	2700 E ENTERPRISE AVE STE B
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54913-7656
Country	:	US
Telephone Number	:	920-260-3905
Fax Number	:	920-260-3904

Provider Business Practice Location Address
First Line	:	2700 E ENTERPRISE AVE STE B
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54913-7656
Country	:	US
Telephone Number	:	920-260-3905
Fax Number	:	920-260-3904

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	SANDRA LEIGH ROCHON
Credential	:	MBA, MAG
Telephone Number	:	920-265-7346

Provider Enumeration Date	:	11/30/2023
Last Update Date	:	05/27/2026

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Directions to “NEW INFECTIOUS DISEASES ” Practice Location

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