Active NPIIndividual provider

Alexa M Gavaga

Internal Medicine in Oconto Falls, Wisconsin

NPI Number1093166266
Practice location
835 S Main St Ste 1, Oconto Falls, WI 54154-1282
Fax
—
Last updated
August 30, 2019

Alexa Mary Clare Gavaga is an Internal Medicine based in Oconto Falls, WI. Alexa Mary Clare Gavaga practices in Oconto Falls, WI. The NPI Number for Alexa Mary Clare Gavaga is 1093166266 and holds a License No. 70162-20 (WI). The current practice location address for Alexa Mary Clare Gavaga is 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 and can be reached out via phone at 920-855-2823.

Provider Profile Details

NPI Number
1093166266
Provider Name
Alexa Mary Clare Gavaga
Provider Entity Type
Individual
Gender
Female
Address
835 S Main St Ste 1, Oconto Falls, WI 54154-1282
Phone Number
920-855-2823
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2016
Last Update Date
August 30, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
835 S Main St Ste 1
Oconto Falls, WI 54154-1282
Zip
54154-1282
Phone Number
920-855-2823
Oconto Falls, WI 54154Get directions →

Provider Business Mailing Address Details

Address
835 S Main St
Ste 1
Oconto Falls, WI 54154-1282
City
Oconto Falls
State
WI
Zip
54154-1282
Phone Number
201-515-7883

License Information

License Number (2)
70162-20
License State (2)
WI
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexa M Gavaga?

The NPI number of Alexa M Gavaga is 1093166266. It was assigned on June 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Alexa M Gavaga?

Alexa M Gavaga is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in WI under license number 70162-20.

Where does Alexa M Gavaga practice?

The practice location is 835 S Main St Ste 1, Oconto Falls, WI 54154-1282. The office can be reached at 920-855-2823 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093166266 directly on the NPPES registry website.

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