Individual
CECELETA YVONNE MAITLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
76056
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01873078
—
NY
05
—
1720184195
—
WI
Enumeration date
09/15/2006
Last updated
11/04/2021
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