Organization
JULIE CHICKS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ANN CHICKS M.D. (OWNER)
(262) 377-2900
Entity
Organization
Contact information
Practice address
1990 WISCONSIN AVE, GRAFTON, WI 53024-2601
(262) 377-2900
(262) 377-5349
Mailing address
1990 WISCONSIN AVE, GRAFTON, WI 53024-2601
(262) 377-2900
(262) 377-5349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40099
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32523800
—
WI
Enumeration date
05/29/2014
Last updated
05/29/2014
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