Dr Anne Schwirck Willenborg, MD | |
12a Ledgebrook Dr, Mansfield Center, CT 06250-1664 | |
(860) 423-2960 | |
(860) 423-3719 |
Full Name | Dr Anne Schwirck Willenborg |
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Gender | Female |
Speciality | Pediatrics |
Location | 12a Ledgebrook Dr, Mansfield Center, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801844006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 035631 (Connecticut) | Primary |
Entity Name | Prohealth Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
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Dr Anne Schwirck Willenborg, MD 12a Ledgebrook Dr, Mansfield Center, CT 06250-1664 Ph: (860) 423-2960 | Dr Anne Schwirck Willenborg, MD 12a Ledgebrook Dr, Mansfield Center, CT 06250-1664 Ph: (860) 423-2960 |
Suzanne M Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719 | |
Dr. Craig Russell Elliott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719 | |
Julie Mary Asare, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12 Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 608-423-2960 | |
Dr. Ronald Wolz Kelly, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719 | |
Dr. Thomas Harrison Gorin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719 |