Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 38-875 | WI |
NPI | 1043293053 |
---|---|
Provider Name | Dr. Christopher E Okunseri |
First Address | Brown Deer, WI 53223-1349 |
Second Address | Milwaukee, WI 53233-2331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 08/07/2007 |