Healthcare Provider Details

I. General information

NPI: 1225411481
Provider Name (Legal Business Name): GABRIELA ALMEIDA MALONEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELA SCHYPULA DE SIQUEIRA ALMEIDA

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 PABST FARMS CIR UNIT 180
OCONOMOWOC WI
53066-4878
US

IV. Provider business mailing address

801 YORK ST
MANITOWOC WI
54220-4630
US

V. Phone/Fax

Practice location:
  • Phone: 262-560-0322
  • Fax: 262-560-0379
Mailing address:
  • Phone: 920-663-9008
  • Fax: 920-684-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number70161-21
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: