Individual
TERESA A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42463-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034904
PHYSICIANS PLUS
WI
05
—
34011000
—
WI
01
—
8045
DEAN HEALTH INSURANCE
WI
Enumeration date
04/20/2006
Last updated
11/11/2019
Update your record
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