Ava Risa Feldman in Manitowoc - Procedural Dermatology
Ava Risa Feldman - NPI 1891792958
Ava Risa Feldman is a Procedural Dermatology in Manitowoc, Wisconsin. Ava Risa Feldman practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Ava Risa Feldman is 1891792958. The last update date is 2022-07-21.
Ava Risa Feldman's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639034 and fax number 9206630370. The mailing address for Ava Risa Feldman is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ava Risa Feldman |
|---|---|
| Address | 801 York St, Manitowoc, Wisconsin |
| Phone Number | 9206639034 |
| Fax Number | 9206630370 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1891792958 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 801 York St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542204630 |
| Phone Number | 9206639034 |
| Fax Number | 9206630370 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 2136 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2298364 | IA | -- | |
| 70007615 | IA | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ava Risa Feldman by the Centers for Medicare & Medicaid Services?
The Ava Risa Feldman has been issued the NPI (National Provider Identifier) 1891792958, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ava Risa Feldman's physical address?
The Ava Risa Feldman is physically located at 801 York St, in the city of Manitowoc, WI, with the postal code 542204630.
What is the Ava Risa Feldman's specialty and taxonomy code?
The Ava Risa Feldman's specialty is Procedural Dermatology, and the corresponding taxonomy code is 207Ns0135X.
On what date was the 1891792958 assigned to Ava Risa Feldman?
The Ava Risa Feldman was issued its 1891792958 on 2005-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ava Risa Feldman most recently updated or refreshed?
The details pertaining to the Ava Risa Feldman, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
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