Individual
DR. DENISE A TEVES QUALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF ENDOCRINOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6724
(414) 955-6210
Mailing address
9200 W WISCONSIN AVE, DIVISION OF ENDOCRINOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6724
(414) 955-6210
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
46647
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029906261W
HUMANA
—
05
—
1609827351
—
WI
Enumeration date
05/15/2006
Last updated
10/08/2014
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