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Individual

DR. MIRIAN BOYD ORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 562-8447
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 562-8447

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49987-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34762400
WI
01
60664
DEAN HEALTH INSURANCE
WI
Enumeration date
12/28/2005
Last updated
08/28/2012
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