Individual
EMMELINE O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, DEPT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
66191
WI
207L00000X
Anesthesiology Physician
A102235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1022350
BLUE SHIELD
CA
Enumeration date
12/13/2007
Last updated
09/16/2016
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