Individual
EVER LUIZAGA COCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD437177
PA
207RP1001X
Pulmonary Disease Physician
Primary
65842-20
WI
207RP1001X
Pulmonary Disease Physician
C10009562
DE
207RP1001X
Pulmonary Disease Physician
MD437177
PA
Other
Enumeration date
02/09/2009
Last updated
03/17/2018
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