Tam M Diep, DO | |
1818 N Meade St, Appleton, WI 54911-3454 | |
(920) 731-4101 | |
Not Available |
Full Name | Tam M Diep |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 1818 N Meade St, Appleton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467013995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 22337-875 (Wisconsin) | Primary |
Entity Name | Appleton Emergency Services S C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588666853 PECOS PAC ID: 4183517592 Enrollment ID: O20040207000109 |
Mailing Address | Practice Location Address |
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Tam M Diep, DO 16 River Dr, Appleton, WI 54915-1215 Ph: () - | Tam M Diep, DO 1818 N Meade St, Appleton, WI 54911-3454 Ph: (920) 731-4101 |
Kirsten W Larson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3329 N Richmond Street, Appleton, WI 54911 Phone: 920-380-2715 | |
Dr. Sarah L. Holets, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-358-1488 | |
Michael D Polka, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101 | |
Cyril Walsh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 800-968-6866 | |
Ryan J Wagner, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 E Capitol Dr, Appleton, WI 54911 Phone: 920-454-3300 Fax: 920-531-2098 | |
Reid A Sousek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3329 N Richmond St, Appleton, WI 54911 Phone: 920-380-2720 | |
Steven J Mcintyre, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 800-968-6866 |