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Individual

DR. PRIYANKA KALAPURAYIL GIMBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3289 N MAYFAIR RD, WAUWATOSA, WI 53222-3203
(414) 771-7900
(414) 607-6336
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036140310
IL
207Q00000X
Family Medicine Physician
Primary
67773
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100070233
WI
Enumeration date
07/03/2013
Last updated
08/20/2024
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