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Gayana Wanniarachchi
Foot & Ankle Surgery Podiatrist in Dixon, Illinois
NPI 1003540220

Gayana Wanniarachchi is a Foot & Ankle Surgery Podiatrist based in Dixon, IL and is specialized in Foot & Ankle Surgery. Gayana Wanniarachchi practices in Dixon, IL. The NPI Number for Gayana Wanniarachchi is 1003540220 and holds a License No. 135.001170 (Illinois).

The current practice location address for Gayana Wanniarachchi is 215 E 1St St Ste 111, Dixon, IL and can be reached out via phone at 815-345-5677.

Location: 215 E 1St St Ste 111, Dixon, IL, 61021-3198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003540220
Provider Name
Gayana Wanniarachchi
Credential
Provider Entity Type
Individual
Gender
Female
Address
215 E 1St St Ste 111, Dixon, IL, 61021-3198
Phone Number
815-345-5677
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 E 1St St Ste 111
City
Dixon
State
Illinois
Zip
61021-3198
Phone Number
815-345-5677
Fax Number
person
Provider Business Mailing Address Details
Address
215 E 1St St Ste 111
City
Dixon
State
Illinois
Zip
61021-3198
Phone Number
815-345-5677
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
135.001170 (Illinois)
Definition
Definition to come...
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