Provider Demographics
NPI:1760491336
Name:CHELIMSKY, GISELA G (MD)
Entity Type:Individual
Prefix:
First Name:GISELA
Middle Name:G
Last Name:CHELIMSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:PEDIATRIC GASTROENTEROLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-3690
Mailing Address - Fax:414-266-3676
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:PEDIATRIC GASTROENTEROLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-3690
Practice Address - Fax:414-266-3676
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-0624432080P0206X
WI564752080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000182741OtherANTHEM
OH000000525886OtherANTHEM
NE10025555600OtherNE MEDICAID
WI1760491336Medicaid
OH2102969OtherAETNA
OH739162OtherBUCKEYE
OH000000221377OtherUNISON
PA0018470140001OtherPA MEDICAID
OH0315797OtherBCMH
OH0315797Medicaid
OH363415OtherWELLCARE
OH000000221377OtherUNISON
WI736012344Medicare PIN
WI680861131Medicare PIN
WI07520 0061Medicare PIN
OH2102969OtherAETNA
OHG39896Medicare UPIN