Individual
DR. IRYNA NEMESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
818 FOREST LN, WATERFORD, WI 53185-4585
(262) 514-3700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66517-20
WI
207RR0500X
Rheumatology Physician
Primary
66517-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077589
—
WI
Enumeration date
03/23/2015
Last updated
09/24/2024
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