Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 55837-20 | WI |
N | 111NI0900X | Internist | 55837-20 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | 55837 | WI |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 55837 | WI |
NPI | 1033343892 |
---|---|
Provider Name | Graham Samuel Adsit |
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 | 08/05/2009 |
Last Update Date | 11/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033343892 | (05) | WI |