Alexandra Huml Boll, | |
2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | |
(920) 457-4461 | |
Not Available |
Full Name | Alexandra Huml Boll |
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Gender | Female |
Speciality | Internal Medicine |
Location | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649733031 | NPI | - | NPPES |
100163979 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 74966 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Alexandra Huml Boll, 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (715) 965-1188 | Alexandra Huml Boll, 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461 |
Gurminder Dhillon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 816-404-0003 | |
Dr. Philip M. Detrana, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Dr. Louie Coulis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-458-9800 Fax: 920-458-9882 | |
Mr. Muhammad Rasheed Khan Orakzai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Mr. Vinicius Klee Lopes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Sree Ramya Punukollu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Dr. Rachael Bree Hosein, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 |