Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 18442 | WI |
NPI | 1023086121 |
---|---|
Provider Name | Robert A. Diulio |
First Address | Milwaukee, WI 53215-3669 |
Second Address | Milwaukee, WI 53215-3669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 03/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30303400 | (05) | WI |
B52421 | (02) |