Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301101644 | MI |
N | 208600000X | Surgeon | 4301101644 | MI |
Y | 2086X0206X | Surgical Oncologist | 67666-20 | WI |
NPI | 1013203397 |
---|---|
Provider Name | Nicole M Zaremba |
First Address | Milwaukee, WI 53215-3699 |
Second Address | Milwaukee, WI 53215-3699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2011 |
Last Update Date | 29/11/2021 |