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Individual

DR. GLADYS EMMANUELLE HOLLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 55TH ST, KENOSHA, WI 53140-3733
(262) 653-9286
(262) 653-9522
Mailing address
1434 40TH CT, KENOSHA, WI 53144-2982
(262) 553-9104

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41152
WI

Other

Enumeration date
07/22/2006
Last updated
07/08/2007
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