Individual
KATHRYN E GANNON-LOEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2880 UNIVERSITY AVE, MADISON, WI 53705-3644
(608) 263-6421
(608) 263-6547
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
(608) 263-6547
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
35.126176
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
61745-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133627
—
OH
Enumeration date
04/25/2012
Last updated
07/03/2022
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