Provider Demographics
NPI:1609312149
Name:ESPINOZA, CHOLENE DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHOLENE
Middle Name:DANIELLE
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 MOUND ST UNIT 305
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1682
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1013 MOUND ST UNIT 305
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1682
Practice Address - Country:US
Practice Address - Phone:608-265-7601
Practice Address - Fax:608-265-7581
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-09
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1402207RC0200X
CAA151099207V00000X
IAMD-473732086S0102X
WI1402-320207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care