Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57019960 | OH |
N | 111NI0900X | Internist | 57019960 | OH |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 62819 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | 62819 | WI |
NPI | 1770872210 |
---|---|
Provider Name | Renee L Kursel |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 23/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1770872210 | (05) | WI |