Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 31763 | WI |
Y | 207YP0228X | Pediatric Otolaryngology | 31763 | WI |
NPI | 1659424570 |
---|---|
Provider Name | Dr. Valerie A. Flanary |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 21/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000001654535 | PHCS (01) | |
1163927 | UHC (01) | |
1659424570 | (05) | WI |
31652500 | (05) | WI |
F80147 | (02) |