Individual
ENID A OKOKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2555 N MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES, INC., MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 562-8078
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES, INC., MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 562-8078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30775400
—
WI
01
—
K400147269
MEDICARE PTAN
WI
Enumeration date
09/20/2005
Last updated
09/07/2016
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