Individual
HARRY FORD LAWS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(262) 432-7599
Mailing address
9555 76TH STREET, 4106, PLEASANT PRAIRIE, WI 53158-1984
(262) 653-5437
(262) 653-5850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01043200A
IN
208000000X
Pediatrics Physician
042.0013318
VT
208000000X
Pediatrics Physician
17708
NH
208000000X
Pediatrics Physician
Primary
66583-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508823592
—
WI
05
—
200408090
—
IN
01
—
P01512415
RR MEDICARE
IN
Enumeration date
04/26/2006
Last updated
08/07/2017
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