Individual
KATHERINE M DEANGELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 E CAPITOL DR STE 1700, APPLETON, WI 54911-8735
(920) 731-8131
(920) 832-0444
Mailing address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8131
(920) 832-0444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
77316-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211567
—
WI
01
—
77316-20
LICENSE
WI
Enumeration date
04/03/2015
Last updated
07/22/2025
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