Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 70564 | WI |
N | 208200000X | Surgeon | 125055132 | IL |
N | 208600000X | Surgeon | 125055132 | IL |
N | 208200000X | Surgeon | 70564 | WI |
N | 208600000X | Surgeon | 70564 | WI |
NPI | 1396991857 |
---|---|
Provider Name | Dr. Gelu Osian |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2008 |
Last Update Date | 28/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1396991857 | (05) | WI |