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NPI Code Detail

MEDICARE: WHITEFISH BAY SCHOOL DISTRICT

MEDICARE: WHITEFISH BAY SCHOOL DISTRICT
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1992535793
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITEFISH BAY SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 1200 E FAIRMOUNT AVE
Second Line :
City : WHITEFISH BAY
State : WI
Zip : 53217-6011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 E FAIRMOUNT AVE
Second Line :
City : WHITEFISH BAY
State : WI
Zip : 53217-6011
Country : US
Telephone Number : 414-963-3921
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BUSINESS SERVICES
Name : BEN IRWIN
Credential :
Telephone Number : 414-963-3903
Provider Enumeration Date : 08/06/2024
Last Update Date : 08/06/2024

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Directions to “WHITEFISH BAY SCHOOL DISTRICT ” Practice Location

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