Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 18061 | MI |
N | 213EG0000X | General Practice | 18061 | MI |
Y | 1223G0001X | General Practice | 6312-15 | WI |
Y | 213EG0000X | General Practice | 6312-15 | WI |
NPI | 1003826223 |
---|---|
Provider Name | Dr. Raluca Stuleanu |
First Address | Menomonee Falls, WI 53051-3839 |
Second Address | Menomonee Falls, WI 53051-3839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 06/05/2021 |