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Individual

DR. ELINA Y GILGUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
10800 W CAPITOL DR, WAUWATOSA, WI 53222-1109
(414) 462-2373
(414) 462-2393
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6422
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100048374
WI
05
1407239387
WI
Enumeration date
07/09/2015
Last updated
09/23/2024
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