Individual
PING D LADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4435
Mailing address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
62581
WI
Other
Enumeration date
04/21/2009
Last updated
12/02/2020
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