Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 46361 | MN |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 61047 | WI |
NPI | 1235103920 |
---|---|
Provider Name | Paul D Harker-Murray |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 07/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1235103920 | (05) | WI |
129255200 | (05) | MN |