Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 287969 | NY |
N | 207RI0011X | Interventional Cardiology | 287969 | NY |
Y | 207RI0011X | Interventional Cardiology | 71327 | WI |
NPI | 1083943179 |
---|---|
Provider Name | Wah Wah Htun |
First Address | La Crosse, WI 54601-5429 |
Second Address | La Crosse, WI 54601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2009 |
Last Update Date | 05/09/2019 |