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NPI Code Detail

MEDICARE: FREDERICA ANN HOFF SCHUSTER D.D.S.

MEDICARE: FREDERICA ANN HOFF SCHUSTER D.D.S.
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
11223G0001XGeneral Practice Dentistry4411-015WI
21223G0001XGeneral Practice Dentistry4411WI

General Provider Information

NPI Number : 1639179245
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDERICA ANN HOFF SCHUSTER D.D.S.
Provider Business Mailing Address
First Line : 1209 SHOREWOOD BLVD
Second Line :
City : MADISON
State : WI
Zip : 53705-2265
Country : US
Telephone Number : 608-217-6964
Fax Number :
Provider Business Practice Location Address
First Line : 1100 E VERONA AVE
Second Line :
City : VERONA
State : WI
Zip : 53593-8717
Country : US
Telephone Number : 608-845-6601
Fax Number : 608-845-1264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 02/13/2020

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