Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 48699-021 | WI |
NPI | 1023052008 |
---|---|
Provider Name | Dr. Anthony Joseph Bell |
First Address | Wausau, WI 54401-4158 |
Second Address | Wausau, WI 54401-4158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 03/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H47528 | (02) | WI |