Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 47137 | WI |
NPI | 1073543096 |
---|---|
Provider Name | Anita I Gheller-Rigoni |
First Address | Oshkosh, WI 54902-7497 |
Second Address | Oshkosh, WI 54904-7668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 22/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
43531500 | (05) | WI |