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Individual

WILLIAM J HUESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-5990
(414) 955-6282
Mailing address
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-5990
(414) 955-6282

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19770
SC
207Q00000X
Family Medicine Physician
Primary
34232
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346347127
WI
05
197709
SC
Enumeration date
09/20/2006
Last updated
11/25/2019
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