Myklebust, Anna Maria

Myklebust, Anna Maria is an individual health care provider with primary practice located at W8919 Ripley Rd P.O. 629, Cambridge WI 53523-9011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Myklebust, Anna Maria can be contacted via phone (608) 423-7400.

Contact Information

Primary practice address
W8919 Ripley Rd P.O. 629 Cambridge WI 53523-9011
Phone: (608) 423-7400
Fax: (608) 423-7400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34650-020 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51515 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 38149 Iowa

Profile Details

NPI number 1114956232
LBN Legal business name Myklebust, Anna Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Feb 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114956232 NPPES
Wisconsin Other 300088211 RAILROAD MEDICARE
Wisconsin MEDICAID 3195200 RAILROAD MEDICARE
Wisconsin Other 391128616RU RAILROAD MEDICARE
Wisconsin Other 4873 RAILROAD MEDICARE

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