Individual
ELIZABETH COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01080657A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
73246
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100427
—
WI
Enumeration date
04/06/2014
Last updated
10/16/2023
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