Individual
HARRY A. EASOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 N LAKE DR, #617, MILWAUKEE, WI 53211-4518
(414) 271-7200
(414) 271-7278
Mailing address
2315 N LAKE DR, #617, MILWAUKEE, WI 53211-4518
(414) 271-7200
(414) 271-7278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14484
WI
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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