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NPI Code Detail

MEDICARE: JORDAN SCHOLZEN

MEDICARE:   JORDAN  SCHOLZEN
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
1237700000XHearing Instrument Specialist2197-60WI

General Provider Information

NPI Number : 1780547638
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN SCHOLZEN
Provider Business Mailing Address
First Line : 1361 8TH ST S
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-5265
Country : US
Telephone Number : 715-420-0660
Fax Number :
Provider Business Practice Location Address
First Line : 1361 8TH ST S
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-5265
Country : US
Telephone Number : 715-420-0660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ JORDAN SCHOLZEN ” Practice Location

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