Provider Demographics
NPI:1639121429
Name:HILL, JOANNE L (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1350 S SUNNY SLOPE RD
Mailing Address - Street 2:SUNNYSLOPE PRIMARY CARE CLINIC
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-7025
Mailing Address - Country:US
Mailing Address - Phone:414-805-9600
Mailing Address - Fax:414-805-9645
Practice Address - Street 1:1350 S SUNNY SLOPE RD
Practice Address - Street 2:SUNNYSLOPE PRIMARY CARE CLINIC
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-7025
Practice Address - Country:US
Practice Address - Phone:414-805-9600
Practice Address - Fax:414-805-9645
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2014-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI38015207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
002000226UOtherHUMANA
WI1639121429Medicaid
G77416Medicare UPIN
WI1639121429Medicaid
WI073H73601Medicare PIN