=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780180166
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANNE-MARIE NICOLE GIUCA MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/04/2018
-----------------------------------------------------
Last Update Date | 10/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | W129N7055 NORTHFIELD DR
-----------------------------------------------------
City | MENOMONEE FALLS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53051-0538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-253-5400
-----------------------------------------------------
Fax | 262-253-3399
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | W129N7055 NORTHFIELD DR
-----------------------------------------------------
City | MENOMONEE FALLS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53051-0538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-253-5400
-----------------------------------------------------
Fax | 262-253-3399
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 73072-20
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------