Provider Demographics
NPI:1952155392
Name:NOTARIO-RINGWALD, JANNA FE (MD, MSC)
Entity Type:Individual
Prefix:
First Name:JANNA FE
Middle Name:
Last Name:NOTARIO-RINGWALD
Suffix:
Gender:F
Credentials:MD, MSC
Other - Prefix:
Other - First Name:JANNA FE
Other - Middle Name:
Other - Last Name:NOTARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1252 N CLEAVER ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-3308
Mailing Address - Country:US
Mailing Address - Phone:224-760-5675
Mailing Address - Fax:
Practice Address - Street 1:W3985 COUNTY ROAD NN
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:WI
Practice Address - Zip Code:53121-4337
Practice Address - Country:US
Practice Address - Phone:262-741-2121
Practice Address - Fax:262-741-2178
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI100740-851390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program