DR. Laura Jean Gallistel, D.O.

NPI #1013997121 in De Pere, Wisconsin

Provider Information

NPI Number: 1013997121
Entity Type: Individual
Name: DR. Laura Jean Gallistel, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Jan 17, 2006
Last Updated: Feb 24, 2011

Practice Location

Address: 555 REDBIRD CIR STE 200
City: De Pere
State: Wisconsin
ZIP Code: 54115-7979
Phone: (920) 338-6820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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