Cynthia A Pangallo in Oconomowoc - Vascular Surgery

Cynthia A Pangallo - NPI 1710946132

Cynthia A Pangallo is a Vascular Surgery in Oconomowoc, Wisconsin. Cynthia A Pangallo practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Cynthia A Pangallo is 1710946132. The last update date is 2018-03-17.

Cynthia A Pangallo's current location address is 888 Thackeray Trl Ste 103, Oconomowoc, Wisconsin. You can contact this provider via phone number 2625671499 and fax number 2625674502. The mailing address for Cynthia A Pangallo is 888 Thackeray Trl Ste 103, Oconomowoc, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Cynthia A Pangallo
Address 888 Thackeray Trl Ste 103, Oconomowoc, Wisconsin
Phone Number 2625671499
Fax Number 2625674502
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1710946132
Provider Enumeration Date 2006-03-23
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 888 Thackeray Trl Ste 103
City Oconomowoc
State Wisconsin (WI)
Post Code 530664342
Phone Number 2625671499
Fax Number 2625674502

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 32603
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
317237300 WI --

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FAQs about Cynthia A Pangallo

What is the Cynthia A Pangallo's 1710946132?

The Cynthia A Pangallo's NPI (National Provider Identifier) Number is 1710946132. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Cynthia A Pangallo?

The Cynthia A Pangallo is physically situated at 888 Thackeray Trl Ste 103, in the city of Oconomowoc, state of WI, with the postal code 530664342.

What is the Cynthia A Pangallo's specialty and taxonomy code?

The Cynthia A Pangallo's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.

When was the Cynthia A Pangallo's 1710946132 issued?

The Cynthia A Pangallo's 1710946132 was issued on 2006-03-23.

As of what date was the information pertaining to Cynthia A Pangallo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Cynthia A Pangallo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-17.

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