CHRISTIANNE M WILLIS


Address: 117 S Madison St, Cuba City, WI 53807-1154
Phone: 6087442115

CHRISTIANNE M WILLIS (NPI# 1326044587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326044587
Entity Type Individual
Full Name CHRISTIANNE M WILLIS
Other Name CHRISTIANNE M KUENNEN
Credential PA
Practice Address 117 S Madison St
Cuba City
WI 53807-1154
Mailing Address 1500 Associates Dr
Dubuque
IA 52002-2201
Practice Telephone 6087442115
Practice Fax Number 6087442117
Mailing Telephone 5635844100
Mailing Fax Number 5635844110
Enumeration Date 2005-06-22
Last Update Date 2009-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1391 IA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 41957800 05

Office Location

Street Address 117 S MADISON ST
City CUBA CITY
State WI
Zip Code 53807-1154

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275886590 Southwest Health Center, Inc. Clinic/Center 207 East Skelly Street, Cuba City, WI 53807 2012-10-24
1104900091 Emily C Busch Misky Chiropractor 218 E Webster St, Cuba City, WI 53807 2006-10-25
1407801905 City of Cuba City Ambulance 1013 South Main, Cuba City, WI 53807 2006-05-23
1669536827 Cuba City Chiropractic Office LLC Chiropractor 218 E Webster St, Cuba City, WI 53807 2006-12-21
1275177446 Vanessa Marie Hudson Licensed Practical Nurse 416 W Skelly St, Cuba City, WI 53807-1035 2019-10-31
1003282252 Ann Morley Occupational Therapist 309 W Skelly St, Cuba City, WI 53807-1056 2015-08-11
1871835843 Jon Joseph Wilson Pharmacist 117 W Webster St, Cuba City, WI 53807-1100 2013-03-18
1821470535 Evan Pluym Dentist 206 S Jackson St, Cuba City, WI 53807-1147 2015-06-18
1912173584 School District of Cuba City Bus 518 W Roosevelt St, 101 N. School Street, Cuba City, WI 53807-1220 2008-05-05
1154412575 Rita M Udelhoven Counselor 808 S Washington St, Cuba City, WI 53807-1439 2006-09-28
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1588225544 Hannah Elizabeth Krum Physician Assistant S80w17784 Brennan Dr, Muskego, WI 53150-8828 2019-06-21
1255825162 Katelyn Marie Frankwick Physician Assistant 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 2018-06-15
1831644228 Megan E Nelson Physician Assistant 221 E Mills Dr, Lake Mills, WI 53551-1910 2016-08-16
1356717904 Amy Hermus Physician Assistant 451 Butternut Dr, Oregon, WI 53575-1349 2015-08-18
1497168066 Alexander J Hill Physician Assistant 1111 North Road, Mauston, WI 53948-0700 2014-06-11
1487083242 Andrew John Miller Physician Assistant 1521 Lakeview Ave, Wausau, WI 54401-6168 2013-11-02
1386944502 Bethany Rose Yard Physician Assistant 18601 Lincoln Street, Whitehall, WI 54773 2010-10-22
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Competitor

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City CUBA CITY
Zip Code 53807

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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