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NPI Code Detail

MEDICARE: ALLISON EPPING

MEDICARE:   ALLISON  EPPING
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1528414604
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON EPPING
Provider Business Mailing Address
First Line : 4214 67TH DRIVE
Second Line :
City : UNION GROVE
State : WI
Zip : 53182
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4214 67TH DR
Second Line :
City : UNION GROVE
State : WI
Zip : 53182-9405
Country : US
Telephone Number : 262-308-1443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 05/09/2016

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Directions to “ ALLISON EPPING ” Practice Location

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