Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | BP4371770 | WI |
NPI | 1891953311 |
---|---|
Provider Name | Richard Carl Parfitt II |
First Address | Middleton, WI 53562-5510 |
Second Address | Middleton, WI 53562-5510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 30/05/2008 |