Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 68712 | WI |
NPI | 1093039869 |
---|---|
Provider Name | Brooke A Schlappe |
First Address | Milwaukee, WI 53215-2843 |
Second Address | West Allis, WI 53227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2010 |
Last Update Date | 19/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100078514 | (05) | WI |