NPI 1003078494

Elena V Roukhadze, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Milwaukee, WI

Practice location

Address: 5000 W National Ave, Milwaukee, WI 53295-0001
Phone: (414) 384-2000
Fax: (414) 389-4187

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 51124-020 (WI)

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Registry record

NPI: 1003078494
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2008
Record last updated: 27 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.