Healthcare Provider Details

I. General information

NPI: 1477074524
Provider Name (Legal Business Name): ELENA IOANA CIOFOAIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 BELLINGER STREET
EAU CLAIRE WI
54703-5222
US

IV. Provider business mailing address

PO BOX 860912 PROVIDER ENROLLMENT - RST
MINNEAPOLIS MN
55486-0912
US

V. Phone/Fax

Practice location:
  • Phone: 715-838-5222
  • Fax:
Mailing address:
  • Phone: 507-284-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.069759
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD048251
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number4627
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: