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Contact Information

HEALOGICS SPECIALTY PHYSICIANS OF WISCONSIN, LLC
430 WILCOX ST
FORT ATKINSON, WI53538-1968
 Phone: 904-446-3701
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for HEALOGICS SPECIALTY PHYSICIANS OF WISCONSIN LLC · (Female)

NPI # 1992221840
Status Active
Credentials
Entity Individual
Enumeration date 08/22/2017
Last updated 03/03/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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