Barbara A Hummel, Md Sc | |
4811 S 76th St Ste 201 Greenfield WI 53220-4364 | |
(414) 604-0520 | |
(414) 604-0525 |
Full Name | Barbara A Hummel, Md Sc |
---|---|
Speciality | Family Medicine |
Location | 4811 S 76th St Ste 201, Greenfield, Wisconsin |
Authorized Official Name and Position | Barbara Ann Hummel (OWNER - CEO) |
Authorized Official Contact | 4146040520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Barbara A Hummel, Md Sc 4811 S 76th St Ste 201 Greenfield WI 53220-4364 Ph: (414) 604-0520 | Barbara A Hummel, Md Sc 4811 S 76th St Ste 201 Greenfield WI 53220-4364 Ph: (414) 604-0520 |
NPI Number | 1669693461 |
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Provider Enumeration Date | 05/01/2007 |
Last Update Date | 04/25/2019 |
Medicare PECOS PAC ID | 3173424355 |
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Medicare Enrollment ID | O20070516000462 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669693461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 30414 (Wisconsin) | Primary |
Provider Name | Barbara Ann Hummel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972519361 PECOS PAC ID: 0244131431 Enrollment ID: I20070516000486 |
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