JAMES A AVERY M.D. - NPI 1750374096 - Specialist in Fond Du Lac, WI

Q: What is James Avery's NPI number?

The NPI number for James Avery is 1750374096. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is James Avery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for James Avery was last updated on June 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About James A Avery M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES A AVERY M.D. (NPI 1750374096) is an individual specialist in Fond Du Lac, Wisconsin, licensed in Wisconsin (24651-020) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1750374096

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJAMES A AVERYCredential: M.D.

Location Address210 WISCONSIN AMERICAN DR, SUITE #265Fond Du Lac, WI 54935-2999

Mailing Address210 Wisconsin American Dr, Suite #265Fond Du Lac, WI 54935-2999 · (920) 907-7400 · Fax (920) 907-7401

Phone(920) 907-7400

Fax(920) 907-7401

Sole ProprietorNo

Enumeration DateAugust 23, 2005

Last NPPES UpdateJune 13, 2014

✔ NPI 1750374096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WI · 24651-020

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54935

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