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NPI Code Detail

MEDICARE: ELI T. JAMES MD

MEDICARE: ELI T. JAMES 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
1207Q00000XFamily Medicine Physician71718-20WI

General Provider Information

NPI Number : 1669959441
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELI T. JAMES MD
Provider Business Mailing Address
First Line : 507 S MONROE ST
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2099
Country : US
Telephone Number : 608-723-2131
Fax Number : 608-723-2707
Provider Business Practice Location Address
First Line : 507 S MONROE ST
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2099
Country : US
Telephone Number : 608-723-2131
Fax Number : 608-723-2707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2018
Last Update Date : 07/22/2021

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