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Individual
MAUREEN A PHILLIPS
Active
Individual
MAUREEN A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036174434
IL
207Q00000X
Family Medicine Physician
Primary
40209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32534300
—
WI
01
—
40209
LICENSE
WV
Enumeration date
12/06/2005
Last updated
07/14/2025
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