Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 53214 | WI |
N | 207VX0201X | Gynecologic Oncologist | MD31426 | TN |
NPI | 1215920418 |
---|---|
Provider Name | Janet G. Turner |
First Address | Waukesha, WI 53188-5031 |
Second Address | Waukesha, WI 53188-5031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 19/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3120306 | (05) | WI |
G25970 | (02) |