Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 1631-320 | WI |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | D0058352 | MD |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DR.0066947 | CO |
NPI | 1033119698 |
---|---|
Provider Name | Janyne Edith Althaus |
First Address | Green Bay, WI 54305-2487 |
Second Address | Colorado Springs, CO 80923-2614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 07/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G71500 | (02) |