Individual
DEBORAH A IHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 731-5811
(920) 738-6293
Mailing address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 731-5811
(920) 738-6293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32498800
—
WI
Enumeration date
06/21/2005
Last updated
01/26/2012
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