Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 39513 | WI |
NPI | 1013963107 |
---|---|
Provider Name | Jay A. Met |
First Address | Milwaukee, WI 53226-1309 |
Second Address | Milwaukee, WI 53226-1309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 25/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1699757302 | ANDERSON & SHAPIRO EYE SURGEONS (01) | |
32394500 | (05) | WI |
E20459 | (02) |