Doctor Name: | DR. MINGWEI LI |
NPI Number: | 1003108952 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, DABNM |
License Number: | |
Business Practice Address: | 333 W Brown Deer Rd # 240 Milwaukee, WI - 532172372 |
Business Phone Number: | 4143516666 |
Business Fax Number: | 4143516999 |
Mailing Address: | 333 W Brown Deer Rd # 240, MILWAUKEE |
State: | WI |
Postal Code: | 532172372 |
Phone Number: | 4143516666 |
Fax Number: | 4143516999 |
NPI Enumeration Date: | 05/11/2011 |
NPI Last Update Date: | 05/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |