NPI 1013997121

Laura Jean Gallistel, DO

Practitioner Pediatrics Physician De Pere, WI

Practice location

Address: 555 Redbird Cir STE 200, De Pere, WI 54115-7979
Phone: (920) 338-6820

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 51423-021 (WI)

Other Pediatrics providers in Wisconsin →

Registry record

NPI: 1013997121
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2006
Record last updated: 24 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.