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NPI Code Detail

MEDICARE: EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC

MEDICARE: EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC
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
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) Physician
2207Y00000XOtolaryngology Physician

General Provider Information

NPI Number : 1508819178
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC
Provider Business Mailing Address
First Line : 119 E BELL ST
Second Line :
City : NEENAH
State : WI
Zip : 54956-4993
Country : US
Telephone Number : 920-969-1768
Fax Number : 920-969-1788
Provider Business Practice Location Address
First Line : 119 E BELL ST
Second Line :
City : NEENAH
State : WI
Zip : 54956-4993
Country : US
Telephone Number : 920-969-1768
Fax Number : 920-969-1788
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT J BECHARD
Credential : M.D.
Telephone Number : 920-969-1768
Provider Enumeration Date : 05/17/2006
Last Update Date : 08/16/2017

Similar Medicare Providers

1649477175 — JENNIFER YATES APNP
Practice Location Address:
119 E BELL ST
NEENAH, WI
54956-4993
Practice Phone: 920-969-1768
Practice Fax: 920-267-5222
1255334421 — DR. MARK WILLIAM CONRADT AU.D.
Practice Location Address:
119 E BELL ST
NEENAH, WI
54956-4993
Practice Phone: 920-969-1768
Practice Fax: 920-969-1788
1407859523 — DR. ROBERT B. PREHN M.D.
Practice Location Address:
119 E BELL ST
NEENAH, WI
54956-4993
Practice Phone: 920-969-1768
Practice Fax: 920-969-1788
1437152568 — DR. CHRISTOPHER J. KELLER M.D.
Practice Location Address:
119 E BELL ST
NEENAH, WI
54956-4993
Practice Phone: 920-969-1768
Practice Fax: 920-969-1788
1306849443 — DR. ROBERT J. BECHARD M.D.
Practice Location Address:
119 E BELL ST
NEENAH, WI
54956-4993
Practice Phone: 920-969-1768
Practice Fax: 920-969-1788
1275529513 — HOLLY A RUSCH AUD
Practice Location Address:
119 E BELL ST
NEENAH, WI
54956-4993
Practice Phone: 920-730-4414
Practice Fax:

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