Individual
DR. ISABELITA P WIJANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 E LIBERTY ST, SUITE 410, LOUISVILLE, KY 40202-1530
(502) 587-0521
(502) 587-3885
Mailing address
250 E LIBERTY ST, SUITE 410, LOUISVILLE, KY 40202-1530
(502) 587-0521
(502) 587-3885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17252
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659392991
NPI
KY
05
—
64172521
—
KY
Enumeration date
07/22/2006
Last updated
08/07/2012
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