Inna Kotlyarenko in Wauwatosa - General Practice

Inna Kotlyarenko - NPI 1144423427

Inna Kotlyarenko is a General Practice in Wauwatosa, Wisconsin. Inna Kotlyarenko practices all healthcare services and medical treatments related to General Practice. The NPI Number for Inna Kotlyarenko is 1144423427. The last update date is 2007-07-08.

Inna Kotlyarenko's current location address is 10425 W North Ave, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144763909 and fax number 4144763909. The mailing address for Inna Kotlyarenko is 10425 W North Ave, Wauwatosa, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Inna Kotlyarenko
Address 10425 W North Ave, Wauwatosa, Wisconsin
Phone Number 4144763909
Fax Number 4144763909
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1144423427
Provider Enumeration Date 2007-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10425 W North Ave
City Wauwatosa
State Wisconsin (WI)
Post Code 53226
Phone Number 4144763909
Fax Number 4144763909

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3358
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33468300 WI --

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FAQs about Inna Kotlyarenko

What is the unique 10-digit identifier code assigned to Inna Kotlyarenko by the Centers for Medicare & Medicaid Services?

The Inna Kotlyarenko has been issued the NPI (National Provider Identifier) 1144423427 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Inna Kotlyarenko is located?

The Inna Kotlyarenko is situated at the following address: 10425 W North Ave, Wauwatosa, WI, 53226.

What is Inna Kotlyarenko's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Inna Kotlyarenko is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1144423427 to Inna Kotlyarenko?

The Inna Kotlyarenko received its 1144423427 assignment from the Centers for Medicare & Medicaid Services on 2007-06-06.

When was the information pertaining to Inna Kotlyarenko most recently updated or revised?

The details related to Inna Kotlyarenko, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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