Dr Katherine Furman Canfield, MD | |
3821 Spring St, Racine, WI 53405-1667 | |
(262) 687-3672 | |
Not Available |
Full Name | Dr Katherine Furman Canfield |
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Gender | Female |
Speciality | Pediatrics |
Location | 3821 Spring St, Racine, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134324502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 54691-020 (Wisconsin) | Primary |
208000000X | Pediatrics | 036.126118 (Illinois) | Secondary |
208000000X | Pediatrics | D0082712 (Maryland) | Secondary |
Entity Name | Affinity Physicians Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053 |
Mailing Address | Practice Location Address |
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Dr Katherine Furman Canfield, MD 3821 Spring St, Racine, WI 53405-1667 Ph: (262) 687-3672 | Dr Katherine Furman Canfield, MD 3821 Spring St, Racine, WI 53405-1667 Ph: (262) 687-3672 |
Jeffrey Naus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 | |
Leslie M Hertz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 Fax: 262-687-6737 | |
Margaret M. Hennessy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 | |
Willard Nettles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 | |
Stephen T. Flox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 | |
Kristen Wasilowski Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 |