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NPI Code Detail

MEDICARE: MEGAN MUMM

MEDICARE:   MEGAN  MUMM
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 Pathologist6032-154WI

General Provider Information

NPI Number : 1487341939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MUMM
Provider Business Mailing Address
First Line : 880 INDEPENDENCE LN
Second Line :
City : SAUK CITY
State : WI
Zip : 53583-1381
Country : US
Telephone Number : 608-644-3233
Fax Number :
Provider Business Practice Location Address
First Line : 507 S MONROE ST
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2099
Country : US
Telephone Number : 608-723-2143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2023
Last Update Date : 04/24/2023

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Directions to “ MEGAN MUMM ” Practice Location

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