Dr Angela M Rubenzer, DDS | |
400 2nd St S Ste 250, Hudson, WI 54016-1599 | |
(715) 808-0460 | |
Not Available |
Full Name | Dr Angela M Rubenzer |
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Gender | Female |
Speciality | Dentist - Pediatric Dentistry |
Location | 400 2nd St S Ste 250, Hudson, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225195837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D12166 (Minnesota) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 7171-15 (Wisconsin) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Dr Angela M Rubenzer, DDS 400 2nd St S Ste 250, Hudson, WI 54016-1599 Ph: (715) 808-0460 | Dr Angela M Rubenzer, DDS 400 2nd St S Ste 250, Hudson, WI 54016-1599 Ph: (715) 808-0460 |
Patrick Lee Wolfe, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 Crestview Dr, Suite 240, Hudson, WI 54016 Phone: 715-381-5556 | |
Fariba Kianmajd, Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Rodeo Dr Ste 114, Hudson, WI 54016 Phone: 716-386-3675 | |
Dr. Kenneth R Brisson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 821 Coulee Rd, Hudson, WI 54016 Phone: 715-386-3548 Fax: 715-386-3634 | |
Paul Lawton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1810 Crest View Dr, Suite 5a, Hudson, WI 54016 Phone: 715-386-3727 Fax: 715-386-4029 | |
Dr. Benjamin John Fravel, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Crestview Dr, Suite 3, Hudson, WI 54016 Phone: 715-386-8070 Fax: 715-386-8958 | |
Dr. Kelvin L. Shane, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 108 Walnut Street, Suite A, Hudson, WI 54016 Phone: 715-386-2133 Fax: 763-515-3970 | |
Morgan Taylor Rebeck, DDS Dentist Medicare: Medicare Enrolled Practice Location: 400 2nd St S Ste 250, Hudson, WI 54016 Phone: 715-808-0460 |