Individual
ELENA BIVOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
100202-851
WI
2084N0400X
Neurology Physician
Primary
82813-20
WI
Other
Enumeration date
05/18/2022
Last updated
04/12/2024
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