Katherine Ann Gonzaga
Pediatric Allergist
6408 Copps Ave
Monona
, Wisconsin 53716-3702
Katherine Ann Gonzaga
Pediatric Allergist
6408 Copps Ave
Monona
, Wisconsin 53716-3702
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Katherine Ann Gonzaga
- 202 S Park St
- Madison, WI
- Zip : 53715-1507
- Phone :
Second Address
- Katherine Ann Gonzaga
- 6408 Copps Ave
- Monona, WI
- Zip : 53716-3702
- Phone : (608) 417-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | 51711 | WI |
National Provider Identifier
| NPI | 1629118211 |
|---|---|
| Provider Name | Katherine Ann Gonzaga |
| First Address | Madison, WI 53715-1507 |
| Second Address | Monona, WI 53716-3702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 04/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.