Individual
DR. PAMELA WILSON HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3915 W CAPITOL DR, MILWAUKEE, WI 53216-2528
(414) 444-9242
(414) 444-9252
Mailing address
4441 N 41ST ST, MILWAUKEE, WI 53209-5815
(206) 972-9997
(773) 770-0141
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
890-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43237100
—
WI
01
—
P00148211
RAILROAD
WI
Enumeration date
09/21/2006
Last updated
06/09/2015
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