Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | 28823-20 | WI |
N | 208D00000X | General Practice Physician | 28823-20 | WI |
NPI | 1033282967 |
---|---|
Provider Name | Dr. Jose G. Araujo |
First Address | New Berlin, WI 53151-2924 |
Second Address | Wauwatosa, WI 53226-2077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 16/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35816000 | (05) | WI |
690006345 | MEDICARE RAILROAD (01) |