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NPI Code Detail

MEDICARE: DANIELLE FRANCOISE ATIBALENTJA M.D., PH.D.

MEDICARE: DANIELLE FRANCOISE ATIBALENTJA M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0000XHematology (Internal Medicine) Physician86720-20WI
2207RX0202XMedical Oncology PhysicianA162982CA
3207R00000XInternal Medicine PhysicianA162982CA
4207R00000XInternal Medicine Physician2016020417MO
5207RH0000XHematology (Internal Medicine) PhysicianA162982CA
6207RH0003XHematology & Oncology Physician86720-20WI

General Provider Information

NPI Number : 1952752305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE FRANCOISE ATIBALENTJA M.D., PH.D.
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-915-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2016
Last Update Date : 03/11/2026

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