Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 69218-20 | WI |
NPI | 1518385244 |
---|---|
Provider Name | Janelle Sobecki |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-2909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 21/09/2021 |