Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 71599-20 | WI |
NPI | 1003310186 |
---|---|
Provider Name | Dr. Yuri Zermeno |
First Address | Milwaukee, WI 53233-1305 |
Second Address | Milwaukee, WI 53204-1539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2018 |
Last Update Date | 06/08/2020 |