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Individual

DR. WILLIAM WIROSTKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
925 N 87TH ST, THE EYE INSTITUTE, MILWAUKEE, WI 53226-4812
(414) 456-2020
(414) 456-6300
Mailing address
925 N 87TH ST, THE EYE INSTITUTE, MILWAUKEE, WI 53226-4812
(414) 456-2020
(414) 456-6300

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37513
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002000329N
HUMANA
05
1255383733
WI
05
32508100
WI
Enumeration date
05/16/2006
Last updated
11/08/2016
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