Individual
DR. TERESA MARIE UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4855 S MOORLAND RD FL 3, NEW BERLIN, WI 53151-7494
(262) 432-7599
(262) 432-7694
Mailing address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(262) 432-7599
(262) 432-7694
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46521
WI
2080P0207X
Pediatric Hematology & Oncology Physician
46521
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952316895
—
WI
Enumeration date
07/29/2006
Last updated
09/28/2022
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