Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 50366-021 | WI |
NPI | 1003992389 |
---|---|
Provider Name | Dr. Deann Leah Harper |
First Address | Sheboygan, WI 53081-3129 |
Second Address | Sheboygan, WI 53081-3129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2006 |
Last Update Date | 16/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
50366-21 | WI LICENSE (01) | WI |