ADVANCED WOMENS HEALTHCARE CENTER LLC NPI 1669664926

NPI Information

NPI: 1669664926
Provider Name: ADVANCED WOMENS HEALTHCARE CENTER, LLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
933 NEWBURY ST
SUITE 102
RIPON, WI
ZIP 54971
Phone: (920) 748-0550
Get Directions

ADVANCED WOMENS HEALTHCARE CENTER, LLC is a gynecology obstetrics gynecology in Ripon, WI. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee ADVANCED WOMENS HEALTHCARE CENTER, LLC NPI is 1669664926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

933 NEWBURY ST
SUITE 102
RIPON, WI
ZIP 54971-730
Phone: (920) 748-0550
Fax: (920) 748-0555

The provider's authorized official is Paul Boeder .
The authorized official title is Physician/owner and has the following contact phone number (920) 748-0550.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 12/31/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	31521-020	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F55681	MEDICARE UPIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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