Individual
VOLHA HALIANTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 239-5000
(262) 249-7142
Mailing address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 239-5000
(262) 249-7142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036141135
IL
207Q00000X
Family Medicine Physician
Primary
66812
WI
Other
Enumeration date
03/30/2013
Last updated
02/03/2017
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