| Coraggio Llc | |
|
1524 S Commercial St Ste 2n Neenah WI 54956-4999 | |
| (844) 547-4343 | |
| (888) 806-8148 |
| Full Name | Coraggio Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1524 S Commercial St Ste 2n, Neenah, Wisconsin |
| Authorized Official Name and Position | Ann Liebeskind (OWNER) |
| Authorized Official Contact | 9209152584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coraggio Llc Po Box 1050 Neenah WI 54957-1050 Ph: () - | Coraggio Llc 1524 S Commercial St Ste 2n Neenah WI 54956-4999 Ph: (844) 547-4343 |
| NPI Number | 1568810364 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 10/01/2023 |
| Medicare PECOS PAC ID | 2466743695 |
|---|---|
| Medicare Enrollment ID | O20160620001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568810364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 44592 (Wisconsin) | Primary |
| 208000000X | Pediatrics | 44592 (Wisconsin) | Secondary |
| 2080B0002X | Pediatrics - Obesity Medicine | 44592 (Wisconsin) | Secondary |
| Provider Name | Ann M Liebeskind |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629097654 PECOS PAC ID: 7416955356 Enrollment ID: I20061201000168 |
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