Individual
MS. ANTOINETTE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8661 S HOWELL AVE, OAK CREEK, WI 53154-2919
(414) 764-5726
(414) 764-6954
Mailing address
8661 S HOWELL AVE, OAK CREEK, WI 53154-2919
(414) 764-5726
(414) 764-6954
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47704
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34855000
—
WI
Enumeration date
07/27/2006
Last updated
07/09/2007
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