Guigauri, Pavel

Guigauri, Pavel is an individual health care provider with primary practice located at 500 Wind Ridge Dr , Wausau WI 54401-4173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Guigauri, Pavel can be contacted via phone (715) 847-2611.

Contact Information

Primary practice address
500 Wind Ridge Dr Wausau WI 54401-4173
Fax: (715) 847-2465
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 46636 Wisconsin

Profile Details

NPI number 1801874094
LBN Legal business name Guigauri, Pavel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jan 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801874094 NPPES
Wisconsin MEDICAID 34508800

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