| Dr Laura Jean Gallistel, DO | |
|
555 Redbird Cir Ste 200, De Pere, WI 54115-7979 | |
| (920) 338-6820 | |
| Not Available |
| Full Name | Dr Laura Jean Gallistel |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 555 Redbird Cir Ste 200, De Pere, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013997121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 51423-021 (Wisconsin) | Primary |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laura Jean Gallistel, DO 555 Redbird Cir Ste 200, De Pere, WI 54115-7979 Ph: (920) 338-6820 | Dr Laura Jean Gallistel, DO 555 Redbird Cir Ste 200, De Pere, WI 54115-7979 Ph: (920) 338-6820 |
Dr. Rose M Cipres-jaucian, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1723 Spring Hills Ln, De Pere, WI 54115 Phone: 920-403-7982 | |
Yoloxochitl Diaz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 | |
Matthew R. Theado, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 555 Redbird Cir, Suite 200, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 | |
Dr. Caitlin Quinn Barr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 | |
Scott G Zahn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 | |
Rachael Marie Ellis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 |