Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 49266 | WI |
NPI | 1225056138 |
---|---|
Provider Name | Dr. Hanaa J. Zidan |
First Address | Milwaukee, WI 53226-4837 |
Second Address | Milwaukee, WI 53226-3518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 11/07/2007 |