NPI 1194306142

Monica Basehore, PHDFACMG

Practitioner Clinical Molecular Genetics Physician Fitchburg, WI

Practice location

Address: 5445 E Cheryl Pkwy, Fitchburg, WI 53711-5373
Phone: (608) 210-5977
Mailing address: 2800 Woods Hollow Rd, Fitchburg, WI 53711-5399

Registered specialties

Clinical Molecular Genetics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0203X Licence 2007013 (NC)

Other Medical Genetics providers in Wisconsin →

Registry record

NPI: 1194306142
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2021
Record last updated: 20 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.