Provider Demographics
NPI:1962829994
Name:ESPINA, TONI-DENISE PANGANIBAN (MD)
Entity type:Individual
Prefix:
First Name:TONI-DENISE
Middle Name:PANGANIBAN
Last Name:ESPINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5034 W GALENA ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-2235
Mailing Address - Country:US
Mailing Address - Phone:708-373-6413
Mailing Address - Fax:
Practice Address - Street 1:202 S PARK ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1507
Practice Address - Country:US
Practice Address - Phone:082-870-0999
Practice Address - Fax:608-417-5950
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI75-320207RC0200X
IL036.141570208M00000X, 208M00000X
WI75207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease