MEDICARE: DR. REBECCA MOLLIE FEIRING BVM&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
1	174M00000X	Veterinarian	6394-050	WI

General Provider Information

NPI Number	:	1861704017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA MOLLIE FEIRING BVM&S

Provider Business Mailing Address
First Line	:	211 W BENDER RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-4301
Country	:	US
Telephone Number	:	414-962-8040
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 W BENDER RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-4301
Country	:	US
Telephone Number	:	414-962-8040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2010
Last Update Date	:	07/03/2010

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Directions to “ DR. REBECCA MOLLIE FEIRING BVM&S” Practice Location

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