Doctor Name: | LOUIS A FALLIGANT |
NPI Number: | 1093778540 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 47-023 |
Business Practice Address: | 500 Westlawn Dr Cottage Grove, WI - 535279106 |
Business Phone Number: | 6088393104 |
Business Fax Number: | 6088393404 |
Mailing Address: | 7974 Uw Health Ct, MIDDLETON |
State: | WI |
Postal Code: | 535625531 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 06/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 47-023 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |