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NPI Code Detail

MEDICARE: GRETCHEN MAY NOFSINGER MSCF-SLP

MEDICARE: GRETCHEN MAY NOFSINGER MSCF-SLP
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
1235Z00000XSpeech-Language Pathologist3156-154WI

General Provider Information

NPI Number : 1902133010
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETCHEN MAY NOFSINGER MSCF-SLP
Provider Business Mailing Address
First Line : 913 E JUNEAU AVE
Second Line : APT #40
City : MILWAUKEE
State : WI
Zip : 53202-2767
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3205 WOOD RD
Second Line :
City : RACINE
State : WI
Zip : 53406-5048
Country : US
Telephone Number : 262-598-9146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 11/10/2009

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