Provider Demographics
NPI:1861443277
Name:FLOOD, JAMES C (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:FLOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2825 PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1844
Mailing Address - Country:US
Mailing Address - Phone:608-363-5500
Mailing Address - Fax:608-363-5539
Practice Address - Street 1:2825 PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1844
Practice Address - Country:US
Practice Address - Phone:608-363-5500
Practice Address - Fax:608-363-5539
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2022-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI42445-020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1861443277Medicaid