Organization
GAPS HEALTH WI LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONALI WILBORN MD (PHYSICIAN)
(682) 206-3118
Entity
Organization
Contact information
Practice address
3821 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3712
(248) 470-9509
Mailing address
PO BOX 208003, DALLAS, TX 75320-8003
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/29/2021
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