Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A44612 | CA |
N | 207RG0100X | Gastroenterologist | 72533 | WI |
N | 207RG0100X | Gastroenterologist | A44612 | CA |
NPI | 1427070010 |
---|---|
Provider Name | Francisco Antonio Durazo |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 07/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1427070010 | (05) | CA |
1427070010 | (05) | WI |
F38042 | (02) | CA |