Basic Information
Provider Information
NPI: 1285054981
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FEE
FirstName: RACHEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1155 N MAYFAIR RD
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532263462
CountryCode: US
TelephoneNumber: 4149555990
FaxNumber: 4149556282
Practice Location
Address1: 1155 N MAYFAIR RD
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532263462
CountryCode: US
TelephoneNumber: 4149555990
FaxNumber: 4149556282
Other Information
ProviderEnumerationDate: 04/21/2014
LastUpdateDate: 06/12/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X66145WIY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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