Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 70782-20 | WI |
Y | 207V00000X | Obstetrician & Gynecologist | 70782-20 | WI |
NPI | 1780078147 |
---|---|
Provider Name | Emily Slutsky |
First Address | Milwaukee, WI 53226-3548 |
Second Address | Milwaukee, WI 53226-3548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 12/12/2020 |