Individual
DR. ALEXANDRA CERUTTI BOLOGNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
73045
WI
204F00000X
Transplant Surgery Physician
Primary
MD210833
OR
208600000X
Surgery Physician
73045
WI
208600000X
Surgery Physician
MD210833
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD210833
LICENSE
OR
Enumeration date
04/27/2012
Last updated
10/18/2022
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