| Doctor Name: | ANASTASIA OSIPOVA |
| NPI Number: | 1073889382 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 036127848 |
| Business Practice Address: | N2950 State Road 67 Lake Geneva, WI - 531472655 |
| Business Phone Number: | 2622454990 |
| Business Fax Number: | 2622452248 |
| Mailing Address: | N2950 State Road 67, LAKE GENEVA |
| State: | WI |
| Postal Code: | 531472655 |
| Phone Number: | 2622454990 |
| Fax Number: | 2622452248 |
| NPI Enumeration Date: | 03/30/2012 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 036127848 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |