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Amber Lievens Widenski, DO
Student in an Organized Health Care Education/Training Program in New London, Wisconsin
NPI 1417255902

Amber Lievens Widenski is a Student in an Organized Health Care Education/Training Program based in Neenah, WI. Amber Lievens Widenski practices in New London, WI and has the professional credentials of DO. The NPI Number for Amber Lievens Widenski is 1417255902 and holds a License No. 63792-21 (Wisconsin).

The current practice location address for Amber Lievens Widenski is 1405 Mill St, New London, WI and can be reached out via phone at 920-531-2030.

Location: 1405 Mill St, New London, WI, 54956-3070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417255902
Provider Name
Amber Lievens Widenski
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1405 Mill St, New London, WI, 54956-3070
Phone Number
920-531-2030
Fax Number
Provider Enumeration Date
03/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417255902 05 WI
institution
Provider Business Practice Location Address Details
Address
1405 Mill St
City
New London
State
Wisconsin
Zip
54961-2155
Phone Number
920-531-2030
Fax Number
person
Provider Business Mailing Address Details
Address
1405 Mill St
City
New London
State
Wisconsin
Zip
54961-2155
Phone Number
920-531-2030
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
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Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
63792-21 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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