Dr Suzanne S Herold, MD | |
1411 N Taylor Dr, Sheboygan, WI 53081-3043 | |
(920) 496-4700 | |
(920) 496-4705 |
Full Name | Dr Suzanne S Herold |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1411 N Taylor 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 |
---|---|---|---|
1194793273 | NPI | - | NPPES |
32500800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 40654020 (Wisconsin) | Primary |
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Mailing Address | Practice Location Address |
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Dr Suzanne S Herold, MD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Dr Suzanne S Herold, MD 1411 N Taylor Dr, Sheboygan, WI 53081-3043 Ph: (920) 496-4700 |
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 |