Theresa A Mikhailov in Milwaukee - Pediatric Critical Care Medicine
Theresa A Mikhailov - NPI 1679525356
Theresa A Mikhailov is a Pediatric Critical Care Medicine in Milwaukee, Wisconsin. Theresa A Mikhailov practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Theresa A Mikhailov is 1679525356. The last update date is 2014-09-24.
Theresa A Mikhailov's current location address is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142663360 and fax number 4142663563. The mailing address for Theresa A Mikhailov is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa A Mikhailov |
|---|---|
| Address | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4142663360 |
| Fax Number | 4142663563 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679525356 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2014-09-24 |
Provider Mailing Address Detail
| Address | 9000 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532264874 |
| Phone Number | 4142663360 |
| Fax Number | 4142663563 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 40962 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1679525356 | WI | -- | |
| 002000329D | HUMANA |
Post Comment/ Review Below
What is the Theresa A Mikhailov's 1679525356?
The Theresa A Mikhailov's NPI (National Provider Identifier) Number is 1679525356. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Theresa A Mikhailov is located?
The Theresa A Mikhailov is situated at the following address: 9000 W Wisconsin Ave, Milwaukee, WI, 532264874.
What is Theresa A Mikhailov's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theresa A Mikhailov's specialized field of practice is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679525356 to Theresa A Mikhailov?
The Theresa A Mikhailov received its 1679525356 assignment from the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date were the details pertaining to Theresa A Mikhailov last refreshed?
The information related to the Theresa A Mikhailov, including its address, specialty, and other relevant details, was last updated on 2014-09-24.