Provider Demographics
NPI:1154649150
Name:COREY, ANNA B (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:B
Last Name:COREY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9200 W WISCONSIN AVENUE
Mailing Address - Street 2:INFECTIOUS DISEASES
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-6444
Mailing Address - Fax:414-805-6702
Practice Address - Street 1:9200 W WISCONSIN AVENUE
Practice Address - Street 2:INFECTIOUS DISEASES
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-6444
Practice Address - Fax:414-805-6702
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI56492207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1154649150Medicaid