Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 850-025 | WI |
NPI | 1396839833 |
---|---|
Provider Name | Dr. Amy Lynn Miller-Guhl |
First Address | Waukesha, WI 53186-1800 |
Second Address | Waukesha, WI 53186 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 05/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
43234600 | (05) | WI |
P01633658 | RAILROAD MEDICARE (01) | WI |
U92946 | (02) | WI |