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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEDIATRIC AND YOUNG ADULT MEDICINE, PA

Active Organization

PEDIATRIC AND YOUNG ADULT MEDICINE, PA is a Primary Care Clinic organization located in HUDSON, Wisconsin. NPI 1710129812 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · HUDSON, WI

Registration Details

NPI Number
1710129812
Provider Type
Organization
NPI Issued
Apr 3, 2009 (17.395885865951 yrs)
Last Updated
Dec 7, 2016
License
154 (MN)

Practice Information

Address
1610 MAXWELL DR
SUITE 245
HUDSON, WI, 540168709
Browse WI providers · Browse ZIP 54016
Phone
6512566706
Fax
6512566707
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.