Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | 37370-020 | WI |
N | 207V00000X | Obstetrician & Gynecologist | 37370-020 | WI |
Y | 208D00000X | General Practice Physician | 37370-020 | WI |
NPI | 1740316181 |
---|---|
Provider Name | Dr. Neville Winston Duncan |
First Address | Milwaukee, WI 53224 |
Second Address | Milwaukee, WI 53205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 16/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100041767 | (05) | WI |