Organization
JEID SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIRO A ERASO ZAMARO M.D. (OWNER)
(414) 364-3037
Entity
Organization
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-1325
Mailing address
PO BOX 71807, RICHMOND, VA 23255-1807
(804) 350-2889
(804) 612-5201
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
50877-20
WI
Other
Enumeration date
03/05/2012
Last updated
02/22/2023
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