Doctor Name: | DR. EKMINI WIJESINGHE |
NPI Number: | 1013281476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 835 S Van Buren St St Vincent Hospital Green Bay, WI - 543013526 |
Business Phone Number: | 9202721586 |
Business Fax Number: | |
Mailing Address: | 835 S. Van Buren St, St Vincent Hospital GREEN BAY |
State: | WI |
Postal Code: | 543073508 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/02/2012 |
NPI Last Update Date: | 11/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |