Individual
DR. VALERIA D HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2555 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 562-8084
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES, INC., MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 372-0793
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00974
MD
213E00000X
Podiatrist
Primary
957-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026900106
MEDICARE PTAN
WI
05
—
100001611
—
WI
05
—
443048401
—
MD
01
—
RAILROAD MEDICARE
480006442
MD
01
—
T192VD
BLUE CROSS BLUE SHIELD
MD
Enumeration date
02/08/2006
Last updated
07/03/2024
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