Julie E Mossberg, | |
110 Lone Oak Ln, Hartford, WI 53027-2600 | |
(262) 670-1800 | |
Not Available |
Full Name | Julie E Mossberg |
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Gender | Female |
Speciality | Pediatrics |
Location | 110 Lone Oak Ln, Hartford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659453488 | NPI | - | NPPES |
3101 | Other | INTERNAL ID-MOTOR VEHICLE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 42549 (Wisconsin) | Primary |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
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Julie E Mossberg, 110 Lone Oak Ln, Hartford, WI 53027-2600 Ph: (262) 670-1800 | Julie E Mossberg, 110 Lone Oak Ln, Hartford, WI 53027-2600 Ph: (262) 670-1800 |
Brianna Lynn Bobber, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Enisa Hodzic, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Dr. Ronald G Gritt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 Fax: 262-670-4451 |