Julie Chicks, M.d. | |
1990 Wisconsin Ave Grafton WI 53024-2601 | |
(262) 377-2900 | |
(262) 377-5349 |
Full Name | Julie Chicks, M.d. |
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Speciality | Internal Medicine |
Location | 1990 Wisconsin Ave, Grafton, Wisconsin |
Authorized Official Name and Position | Julie Ann Chicks (OWNER) |
Authorized Official Contact | 2623772900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Julie Chicks, M.d. 1990 Wisconsin Ave Grafton WI 53024-2601 Ph: (262) 377-2900 | Julie Chicks, M.d. 1990 Wisconsin Ave Grafton WI 53024-2601 Ph: (262) 377-2900 |
NPI Number | 1518379221 |
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Provider Enumeration Date | 05/29/2014 |
Last Update Date | 05/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518379221 | NPI | - | NPPES |
32523800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 40099 (Wisconsin) | Primary |