Healthcare Provider Details

I. General information

NPI: 1033573456
Provider Name (Legal Business Name): CATHERINE DANLI ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

IV. Provider business mailing address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 414-955-6824
  • Fax: 414-955-0067
Mailing address:
  • Phone: 414-955-6824
  • Fax: 414-955-0067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number77261
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: