MEDICARE: ANNE NIEBLER 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
1	207Q00000X	Family Medicine Physician	5945	AK
2	207Q00000X	Family Medicine Physician	47239	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578532701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE NIEBLER MD

Provider Business Mailing Address
First Line	:	7974 UW HEALTH CT
Second Line	:
City	:	MIDDLETON
State	:	WI
Zip	:	53562-5531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 WESTLAWN DR
Second Line	:
City	:	COTTAGE GROVE
State	:	WI
Zip	:	53527-9106
Country	:	US
Telephone Number	:	608-839-3104
Fax Number	:	608-839-3404

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	01/08/2021

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Directions to “ ANNE NIEBLER MD” Practice Location

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