Individual
DR. HEATHER A UNDERKOFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7322 W RAWSON AVE, FRANKLIN, WI 53132-8104
(414) 433-9010
(414) 433-9007
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012020904
MO
208000000X
Pediatrics Physician
Primary
65619-20
WI
208000000X
Pediatrics Physician
A135678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316200215
—
WI
Enumeration date
06/17/2012
Last updated
06/30/2016
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