Samuel H Idarraga in Wauwatosa - Internal Medicine
Samuel H Idarraga - NPI 1700850070
Samuel H Idarraga is a Internal Medicine in Wauwatosa, Wisconsin. Samuel H Idarraga practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Samuel H Idarraga is 1700850070. The last update date is 2010-03-02.
Samuel H Idarraga's current location address is 2645 N Mayfair Rd, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144791800. The mailing address for Samuel H Idarraga is 2645 N Mayfair Rd, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel H Idarraga |
|---|---|
| Address | 2645 N Mayfair Rd, Wauwatosa, Wisconsin |
| Phone Number | 4144791800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700850070 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2010-03-02 |
Provider Mailing Address Detail
| Address | 2645 N Mayfair Rd |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532261304 |
| Phone Number | 4144791800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 33511-020 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identification code assigned to Samuel H Idarraga by the Centers for Medicare & Medicaid Services?
The Samuel H Idarraga has been issued the NPI (National Provider Identifier) 1700850070. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Samuel H Idarraga?
The Samuel H Idarraga is physically situated at 2645 N Mayfair Rd, in the city of Wauwatosa, state of WI, with the postal code 532261304.
What is Samuel H Idarraga's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Samuel H Idarraga is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700850070 to Samuel H Idarraga?
The Centers for Medicare & Medicaid Services originally issued the 1700850070 to Samuel H Idarraga on 2006-02-14.
As of what date were the details related to Samuel H Idarraga most recently updated or revised?
The information pertaining to Samuel H Idarraga, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-02.