Provider Demographics
NPI:1659042885
Name:GIGGER, PHILICIA C
Entity Type:Individual
Prefix:
First Name:PHILICIA
Middle Name:C
Last Name:GIGGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 N 69TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-4845
Mailing Address - Country:US
Mailing Address - Phone:414-552-9643
Mailing Address - Fax:
Practice Address - Street 1:4708 N 69TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-4845
Practice Address - Country:US
Practice Address - Phone:414-552-9643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator