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NPI Code Detail

MEDICARE: ANN M TOUSIGNANT MD

MEDICARE: ANN M TOUSIGNANT 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
1207V00000XObstetrics & Gynecology Physician23890-020WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2450030761OTHERWIMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497745715
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN M TOUSIGNANT MD
Provider Business Mailing Address
First Line : PO BOX 8003
Second Line :
City : APPLETON
State : WI
Zip : 54912-8003
Country : US
Telephone Number : 920-996-3200
Fax Number : 920-738-5787
Provider Business Practice Location Address
First Line : 100 COUNTY ROAD B
Second Line :
City : SHAWANO
State : WI
Zip : 54166-7072
Country : US
Telephone Number : 715-524-2161
Fax Number : 715-524-8164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 03/14/2012

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Directions to “ ANN M TOUSIGNANT MD” Practice Location

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