Individual
DR. PAOLA A PALMA SISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2575 E EVERGREEN DRIVE, APPLETON, WI 54913-8904
(920) 969-5353
(414) 337-7201
Mailing address
2575 E EVERGREEN DRIVE, APPLETON, WI 54913-8904
(920) 969-5353
(414) 337-7201
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
42192
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002006261K
HUMANA
—
05
—
1982658936
—
WI
Enumeration date
05/22/2006
Last updated
07/13/2023
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