Individual
ROSINDA DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(525) 805-4777
(414) 805-4774
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4777
(414) 805-4774
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
75100
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215464359
—
WI
Enumeration date
05/19/2017
Last updated
10/11/2022
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