Individual
JERRY MICHAEL SURIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10625 W NORTH AVE, 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Mailing address
10625 W NORTH AVE, 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-112399
IL
207P00000X
Emergency Medicine Physician
Primary
54269-021
WI
Other
Enumeration date
03/07/2006
Last updated
04/10/2017
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