Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 69676-20 | WI |
NPI | 1023378445 |
---|---|
Provider Name | Betiel F Voss |
First Address | Milwaukee, WI 53215-3678 |
Second Address | Milwaukee, WI 53215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2012 |
Last Update Date | 06/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100080888 | (05) | WI |