Individual provider · Type 1 NPI

Gayana Wanniarachchi

Foot & Ankle Surgery Podiatrist · Dixon, IL

NPI number 1003540220 Active

Practice location

215 E 1st St Ste 111
Dixon, IL 61021-3198

Call (815) 345-5677 Map

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X135.001170 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1003540220

Gayana Wanniarachchi's National Provider Identifier is 1003540220, issued on Jul 13, 2022. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Dixon, IL. The record was last updated on Jul 13, 2022.