Provider Demographics
NPI:1811938590
Name:GIULIANO, ANNE WHEELER (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:WHEELER
Last Name:GIULIANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2265 E SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-7598
Mailing Address - Country:US
Mailing Address - Phone:208-552-8761
Mailing Address - Fax:208-523-2025
Practice Address - Street 1:3307 GRAND AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6546
Practice Address - Country:US
Practice Address - Phone:406-969-5194
Practice Address - Fax:406-969-5195
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT85622085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY114293300Medicaid
MT14688Medicaid
MT18031OtherBLUE CROSS BLUE SHIELD
WY114293300Medicaid
MT14688Medicaid