DR. Elana Fran Wistrom, DO

NPI #1134376486 in Beloit, Wisconsin

Provider Information

NPI Number: 1134376486
Entity Type: Individual
Name: DR. Elana Fran Wistrom, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: DO
Enumeration Date: Aug 19, 2008
Last Updated: Jan 21, 2013

Practice Location

Address: 2825 PRAIRIE AVE
City: Beloit
State: Wisconsin
ZIP Code: 53511-1844
Phone: (608) 363-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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