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NPI Code Detail

MEDICARE: DR. MONICA DHAWAN

MEDICARE:  DR. MONICA  DHAWAN
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
1208M00000XHospitalist Physician86979WI
2207R00000XInternal Medicine Physician86979WI
3207R00000XInternal Medicine Physician4301115146MI

General Provider Information

NPI Number : 1568958379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONICA DHAWAN
Provider Business Mailing Address
First Line : 3 NEENAH CTR
Second Line :
City : NEENAH
State : WI
Zip : 54956-3070
Country : US
Telephone Number : 920-830-5900
Fax Number :
Provider Business Practice Location Address
First Line : 1818 N MEADE ST
Second Line :
City : APPLETON
State : WI
Zip : 54911-3454
Country : US
Telephone Number : 920-735-7645
Fax Number : 920-735-7618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2018
Last Update Date : 03/02/2026

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