Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 036120097 | IL |
N | 2080P0202X | Pediatric Cardiologist | 45277 | WI |
NPI | 1053362004 |
---|---|
Provider Name | Dr. Michael G Earing |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 03/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000011354I | HUMANA (01) | |
1053362004 | (05) | WI |
H35266 | (02) |