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NPI Code Detail

MEDICARE: HIGH POINT FAMILY MEDICINE, LLC

MEDICARE: HIGH POINT FAMILY MEDICINE, LLC
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
1207Q00000XFamily Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1588857205
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGH POINT FAMILY MEDICINE, LLC
Provider Business Mailing Address
First Line : 105 E LINCOLN AVE
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2019
Country : US
Telephone Number : 608-723-3100
Fax Number : 608-723-2837
Provider Business Practice Location Address
First Line : 105 E LINCOLN AVE
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2019
Country : US
Telephone Number : 608-723-3100
Fax Number : 866-560-8783
Authorized Official
Title or Position : PRESIDENT
Name : DR. ERIC E STADER
Credential : M.D.
Telephone Number : 608-723-3100
Provider Enumeration Date : 08/27/2007
Last Update Date : 01/03/2024

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Directions to “HIGH POINT FAMILY MEDICINE, LLC ” Practice Location

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