Individual
DR. AMIDA GALLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3520 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 392-9711
Mailing address
415 23RD AVE E, SUPERIOR, WI 54880-3739
(843) 687-7811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101238093
VA
207Q00000X
Family Medicine Physician
01050345A
IN
207Q00000X
Family Medicine Physician
21184
SC
Other
Enumeration date
02/28/2007
Last updated
09/11/2025
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