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 |
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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 |
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Provider Enumeration Date | 2006-03-23 |
Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
Address | 888 Thackeray Trl Ste 103 |
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City | Oconomowoc |
State | Wisconsin (WI) |
Post Code | 530664342 |
Phone Number | 2625671499 |
Fax Number | 2625674502 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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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 | -- |
Post Comment/ Review Below
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.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA