Basic Information
| Provider Information | |||||||||
| NPI: | 1982976296 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALVAREZ | ||||||||
| FirstName: | IXCHEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O., MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2690 RESEARCH PARK DR STE 120 | ||||||||
| Address2: | |||||||||
| City: | FITCHBURG | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537114921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8176808036 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2202 S PARK ST | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537131916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6084435480 | ||||||||
| FaxNumber: | 6084435534 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2012 | ||||||||
| LastUpdateDate: | 10/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 64971-21 | WI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.