Unknown Individual – Anesthesiology Physician, NPI 1497760136
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
200, East Washington Street, Appleton, Outagamie County, Wisconsin, 54911, United States
P O BOX 8031
APPLETON, WI 549115490
Phone: (888) 505-0558
Fax: (920) 739-0124
Type: Mailing
Froedtert West Bend Hospital, 3200, Pleasant Valley Road, West Bend, Town of Polk, Washington County, Wisconsin, 53095, United States
WEST BEND, WI 530959274
Phone: (262) 334-5533
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54911)
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