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NPI Code Detail

MEDICARE: AMARILYS DE MARIA ALARCON CALDERON MD

MEDICARE: AMARILYS DE MARIA ALARCON CALDERON 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
1207RP1001XPulmonary Disease Physician69390MN
2207RP1001XPulmonary Disease Physician86589-20WI

General Provider Information

NPI Number : 1548758485
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMARILYS DE MARIA ALARCON CALDERON MD
Provider Business Mailing Address
First Line : 1836 SOUTH AVE
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-5429
Country : US
Telephone Number : 608-782-7300
Fax Number :
Provider Business Practice Location Address
First Line : 1836 SOUTH AVE
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-5429
Country : US
Telephone Number : 608-782-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2018
Last Update Date : 01/28/2026

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