Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 59989 | WI |
NPI | 1023279890 |
---|---|
Provider Name | Tulay Gulsen |
First Address | Arlington Heights, IL 60005-3479 |
Second Address | Milwaukee, WI 53222-1869 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 04/02/2015 |