Individual
PATRICIA J CANTAGALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 REED AVE, MANITOWOC, WI 54220-2026
(920) 682-8841
Mailing address
2522 SHERIDAN DR, GREEN BAY, WI 54302-4423
(920) 406-3685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41327
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32531500
—
WI
Enumeration date
06/20/2006
Last updated
07/08/2007
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