MEDICARE: ADAM E RAPPE RT(R)

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	247100000X	Radiologic Technologist

General Provider Information

NPI Number	:	1538339189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM E RAPPE RT(R)

Provider Business Mailing Address
First Line	:	2422 N BUFFUM ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2902
Country	:	US
Telephone Number	:	414-264-1121
Fax Number	:

Provider Business Practice Location Address
First Line	:	2422 N BUFFUM ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2902
Country	:	US
Telephone Number	:	414-264-1121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	03/10/2008

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Directions to “ ADAM E RAPPE RT(R)” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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