Organization
SHEBOYGAN INTERNAL MEDICINE ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUANN MEYER (PRACTICE ADMINISTRATOR)
(920) 452-6000
Entity
Organization
Contact information
Practice address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 452-6000
(920) 803-2990
Mailing address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 452-6000
(920) 803-2990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32872000
—
WI
Enumeration date
12/19/2006
Last updated
04/20/2008
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