Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 036-154133 | IL |
Y | 208000000X | Pediatrician | 43529 | WI |
NPI | 1346340080 |
---|---|
Provider Name | Philip F Giampietro |
First Address | Middelton, WI 53562-5531 |
Second Address | Madison, WI 53705-2274 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 01/07/2021 |