Individual
PAMELA S CAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9555 76TH ST, SUITE 4106, PLEASANT PRAIRIE, WI 53158-1984
(262) 653-5437
(262) 577-8715
Mailing address
9555 76TH ST, SUITE 4106, PLEASANT PRAIRIE, WI 53158-1984
(262) 653-5437
(262) 577-8715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43340
WI
2080P0202X
Pediatric Cardiology Physician
036-095285
IL
2080P0202X
Pediatric Cardiology Physician
43340
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831142686
—
WI
05
—
43492700
—
IL
Enumeration date
05/19/2006
Last updated
02/18/2014
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