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NPI Code Detail

MEDICARE: CATHERINE L SWEENEY MD

MEDICARE: CATHERINE L SWEENEY 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
1208000000XPediatrics Physician67802-20WI

General Provider Information

NPI Number : 1649699067
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE L SWEENEY MD
Provider Business Mailing Address
First Line : PO BOX 249
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-0249
Country : US
Telephone Number : 920-568-5411
Fax Number : 920-568-4004
Provider Business Practice Location Address
First Line : 500 MCMILLEN ST
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1233
Country : US
Telephone Number : 920-563-5571
Fax Number : 920-563-7705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2014
Last Update Date : 07/21/2022

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Directions to “ CATHERINE L SWEENEY MD” Practice Location

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