Individual
JAIRO A ERASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 385-8032
Mailing address
PO BOX 71807, HENRICO, VA 23255-1807
(877) 794-2284
(804) 612-5201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50877-20
WI
207RI0200X
Infectious Disease Physician
Primary
50877-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34985900
—
WI
Enumeration date
11/29/2007
Last updated
01/02/2024
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