Individual
PRISCILLA CAROLINA HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7420
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187707
—
WI
Enumeration date
08/07/2008
Last updated
12/02/2024
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