Individual
DR. CARMEN L TERLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3040 N 117TH ST, SUITE 200, WAUWATOSA, WI 53222-4129
(414) 778-0070
(414) 778-0359
Mailing address
3040 N 117TH ST, SUITE 200, WAUWATOSA, WI 53222-4128
(414) 778-0070
(414) 778-0359
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31400
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31913400
—
WI
Enumeration date
10/04/2006
Last updated
12/22/2008
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