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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RIMA ABRAHAM DEFATTA, M.D.

Active

DR. RIMA ABRAHAM DEFATTA, M.D. is a Otolaryngology healthcare provider located in ALTOONA, Wisconsin. NPI 1790931707 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · ALTOONA, WI

Registration Details

NPI Number
1790931707
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2008 (18.030885216421 yrs)
Last Updated
Dec 20, 2021
Licenses
440103 (PA)
55928 (WI)
55928 (WI)
55928 (WI)
55928-20 (WI)

Practice Information

Address
1490 RIVERS EDGE TRL
ALTOONA, WI, 547202755
Browse WI providers · Browse ZIP 54720
Phone
7158282368
Fax
7158397796
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Pediatric Otolaryngology
Additional Specialty
Otology & Neurotology
Additional Specialty
Otolaryngic Allergy
Additional Specialty
Otolaryngology

Other Otolaryngology Providers in ALTOONA, WI

Name Credential NPI
DR. ROBERT JOSEPH DEFATTA MD, PH D, FACS 1578697520
DR. JEREMY C ALDERFER MD 1689823932
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.