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Individual

DR. YULIY MUKH PERSHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9252 N GREEN BAY RD, BROWN DEER, WI 53209-1104
(414) 527-5089
(414) 365-6349
Mailing address
9252 N GREEN BAY RD, BROWN DEER, WI 53209-1104
(414) 527-5089
(414) 365-6349

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
43729-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041968480
MEDICARE PTAN
WI
01
046173840
MEDICARE PTAN
WI
Enumeration date
10/03/2005
Last updated
08/28/2014
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