Prudlow, William F

Prudlow, William F is an individual health care provider with primary practice located at 9200 West Wisconsin Froedtert & Med College Clin - West, Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Prudlow, William F can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9200 West Wisconsin Froedtert & Med College Clin - West Milwaukee WI 53226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 17668 Wisconsin

Profile Details

NPI number 1104877620
LBN Legal business name Prudlow, William F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104877620 NPPES
Wisconsin MEDICAID 30229700

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