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Ellen Igl
Adult Day Care Clinic/Center in Beaver Dam, Wisconsin
NPI 1609289214

Ellen Igl is an Adult Day Care Clinic/Center based in Beaver Dam, WI and is specialized in Adult Day Care. Ellen Igl practices in Beaver Dam, WI. The NPI Number for Ellen Igl is 1609289214 and holds a License No. (Wisconsin).

The current practice location address for Ellen Igl is N8053 Hwy 33, Beaver Dam, WI and can be reached out via phone at 920-885-4144.

Location: N8053 Hwy 33, Beaver Dam, WI, 53916-9762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609289214
Provider Name
Ellen Igl
Credential
Provider Entity Type
Individual
Gender
Female
Address
N8053 Hwy 33, Beaver Dam, WI, 53916-9762
Phone Number
920-885-4144
Fax Number
Provider Enumeration Date
06/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
N8053 Hwy 33
City
Beaver Dam
State
Wisconsin
Zip
53916-9762
Phone Number
920-885-4144
Fax Number
person
Provider Business Mailing Address Details
Address
N8053 Hwy 33
City
Beaver Dam
State
Wisconsin
Zip
53916-9762
Phone Number
920-885-4144
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
(Wisconsin)
Definition
Definition to come...
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