Doctor Name: | DR. ALLISON LEE REMESZ |
NPI Number: | 1023255619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 125054245 |
Business Practice Address: | 1185 Corporate Center Dr Prohealth Care Medical Associates Oconomowoc, WI - 530664887 |
Business Phone Number: | 2629288400 |
Business Fax Number: | 2629288484 |
Mailing Address: | 1185 Corporate Center Dr, Prohealth Care Medical Associates Inc. OCONOMOWOC |
State: | WI |
Postal Code: | 530664887 |
Phone Number: | 2629288400 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2009 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 125054245 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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. |