Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 65922 | WI |
NPI | 1811156185 |
---|---|
Provider Name | Jamie Hsien-Chin Chao |
First Address | West Allis, WI 53227-2468 |
Second Address | West Allis, WI 53227-2468 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 10/11/2016 |