Individual
MARJORIE A VUKELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1061 E COMMERCE BLVD, SLINGER, WI 53086-9326
(262) 644-2900
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
06763
NH
207RH0000X
Hematology (Internal Medicine) Physician
Primary
27343
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00941513
RR MEDICARE
WI
Enumeration date
08/24/2006
Last updated
04/24/2012
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