Individual
REBEKKA GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA STUDENT
Contact information
Practice address
1050 E BROADWAY, MONONA, WI 53716-4023
(608) 222-8779
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7974-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2022
Last updated
12/18/2024
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