Individual
GEORGE A IDARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1432 W FOREST HOME AVE STE 200, MILWAUKEE, WI 53204-3228
(414) 567-5401
(414) 567-5358
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
39892
WI
208000000X
Pediatrics Physician
Primary
39892-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32469800
—
WI
Enumeration date
06/19/2006
Last updated
11/18/2025
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