Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 42997 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | 42997 | WI |
Y | 207RI0011X | Interventional Cardiology | 42997 | WI |
NPI | 1629044706 |
---|---|
Provider Name | Giorgio Gimelli |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 14/01/2021 |