Dr Jeremy Robert Anclam, DO | |
1900 Woodland Dr, Manitowoc, WI 54220-9662 | |
(920) 320-6212 | |
(920) 684-5548 |
Full Name | Dr Jeremy Robert Anclam |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 1900 Woodland Dr, Manitowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841495058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101017285 (Michigan) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 60788 (Wisconsin) | Primary |
Entity Name | Froedtert Manitowoc Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
Mailing Address | Practice Location Address |
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Dr Jeremy Robert Anclam, DO Po Box 2290, Manitowoc, WI 54221-2290 Ph: (920) 320-2591 | Dr Jeremy Robert Anclam, DO 1900 Woodland Dr, Manitowoc, WI 54220-9662 Ph: (920) 320-6212 |
Vladimir N Swerchowsky, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 | |
Mary A Govier, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Manitowoc, WI 54220 Phone: 920-320-6212 Fax: 920-684-5548 | |
Dr. Pooja Bharat Patel, MD, MBS Gastroenterology Medicare: Medicare Enrolled Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 262-505-9131 | |
Dr. Tresa A Teehan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 601 Reed Ave, Manitowoc, WI 54221 Phone: 920-682-8841 Fax: 920-686-5250 | |
Tamiru Ertiro Tumdedo, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Dr. Michael J Rosenberg, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 | |
Matthew Gentile, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 Fax: 920-320-3049 |