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Individual

LAURIN A BELLG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2500 E CAPITOL DR, SUITE 1700, APPLETON, WI 54911-8735
(920) 734-9600
(920) 734-4773
Mailing address
2500 E CAPITOL DR, SUITE 1700, APPLETON, WI 54911-8735
(920) 734-9600
(920) 734-4773

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40409020
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
40409
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110239820
RR MEDICARE
05
34274400
WI
Enumeration date
07/01/2006
Last updated
10/29/2019
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