Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 50967 | WI |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 4301088320 | MI |
NPI | 1285859496 |
---|---|
Provider Name | Gunmeet Kaur Kaleka |
First Address | Appleton, WI 54912-8003 |
Second Address | Menasha, WI 54952-7002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 06/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
450030597 | MEDICARE PTAN (01) | WI |