Individual
CONSTANTE S. AVECILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 SUNSET PLACE, MEMORIAL MEDICAL CENTER, NEILLSVILLE, WI 54456
(715) 743-3101
(715) 743-6242
Mailing address
216 SUNSET PLACE, MEMORIAL MEDICAL CENTER, NEILLSVILLE, WI 54456
(715) 743-3101
(715) 743-6245
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20545
WI
208C00000X
Colon & Rectal Surgery Physician
20545
WI
208C00000X
Colon & Rectal Surgery Physician
50758
MN
Other
Enumeration date
06/29/2006
Last updated
10/02/2014
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