Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 36795 | WI |
N | 207PE0004X | Emergency Medical Services | 36795 | WI |
NPI | 1215901558 |
---|---|
Provider Name | Dr. Peter G. Parrino |
First Address | New Berlin, WI 53151-7401 |
Second Address | New Berlin, WI 53151-7401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 04/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1215901558 | (05) | WI |
32387900 | (05) | WI |
665789 | (02) | WI |
G65789 | (02) |