Individual
DIANA M CHOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-7299
(770) 237-1723
Mailing address
9875 S FRANKLIN DR, FRANKLIN, WI 53132-8895
(414) 858-2206
(414) 858-2236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1310-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009
BCBS
WI
Enumeration date
05/04/2006
Last updated
06/06/2008
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