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NPI Code Detail

MEDICARE: ROSS L LEVINE MD

MEDICARE: ROSS L LEVINE 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
12084N0400XNeurology Physician22434-20WI

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 : 1639141856
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS L LEVINE MD
Provider Business Mailing Address
First Line : 1000 MINERAL POINT AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-756-6822
Fax Number : 608-741-6953
Provider Business Practice Location Address
First Line : 1000 MINERAL POINT AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-756-6822
Fax Number : 608-741-6953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 11/17/2016

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Directions to “ ROSS L LEVINE MD” Practice Location

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