Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 31556 | WI |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 31556 | WI |
NPI | 1053306126 |
---|---|
Provider Name | Margaret H Carr |
First Address | Wauwatosa, WI 53226-4216 |
Second Address | Wauwatosa, WI 53226-4216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 01/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32102300 | (05) | WI |
F60906 | (02) |