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Dr. Elana Fran Wistrom, DO
Obstetrics & Gynecology Physician in Beloit, Wisconsin
NPI 1134376486

Elana Fran Wistrom is a Obstetrics & Gynecology Physician based in Beloit, WI. Elana Fran Wistrom practices in Beloit, WI and has the professional credentials of DO. The NPI Number for Elana Fran Wistrom is 1134376486 and holds a License No. 5101017794 (Wisconsin).

The current practice location address for Elana Fran Wistrom is 2825 Prairie Ave, Beloit, WI and can be reached out via phone at 608-363-5500 and via fax at 608-363-5539. You can also correspond with Elana Fran Wistrom through the mailing address at 2825 PRAIRIE AVE, BELOIT, WI - 53511-1844 (mailing address contact number: 608-363-5500).

Location: 2825 Prairie Ave, Beloit, WI, 53511-1844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134376486
Provider Name
Elana Fran Wistrom
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2825 Prairie Ave, Beloit, WI, 53511-1844
Phone Number
608-363-5500
Fax Number
608-363-5539
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134376486 05 WI
WISTRELA 01 WI MERCYCARE INSURANCE
1134376486 01 WI BCBSWI
institution
Provider Business Practice Location Address Details
Address
2825 Prairie Ave
City
Beloit
State
Wisconsin
Zip
53511-1844
Phone Number
608-363-5500
Fax Number
608-363-5539
person
Provider Business Mailing Address Details
Address
2825 Prairie Ave
City
Beloit
State
Wisconsin
Zip
53511-1844
Phone Number
608-363-5500
Fax Number
608-363-5539
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
5101017794 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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