Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD437007 | PA |
Y | 2080P0208X | Pediatric Infectious Diseases | 51358-20 | WI |
NPI | 1558307744 |
---|---|
Provider Name | Anna R. Huppler |
First Address | Wauwatosa, WI 53213-3011 |
Second Address | Wauwatosa, WI 53226-4875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 17/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1558307744 | (05) | WI |