Individual
DR. SUSAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3560
(414) 266-6091
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3560
(414) 266-6091
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31694
WI
207LP3000X
Pediatric Anesthesiology Physician
31694
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000136K
HUMANA
—
05
—
1144271891
—
WI
Enumeration date
05/15/2006
Last updated
10/25/2013
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