Individual
DR. ANGELA HALIBURDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1260 32ND AVE N, SAINT CLOUD, MN 56303-1649
(320) 230-7788
Mailing address
226 CAVIL WAY, DE PERE, WI 54115-3772
(920) 351-0289
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
48462
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43517300
—
WI
Enumeration date
05/11/2006
Last updated
08/22/2008
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