Basic Information
| Provider Information | |||||||||
| NPI: | 1275617391 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LI | ||||||||
| FirstName: | XINHUA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, PHD, DABNM, CNIM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 333 W. BROWN DEER RD. | ||||||||
| Address2: | #240 | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532175818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4143516666 | ||||||||
| FaxNumber: | 4143516999 | ||||||||
| Practice Location | |||||||||
| Address1: | 333 W BROWN DEER RD | ||||||||
| Address2: | #240 | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532172372 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4143516666 | ||||||||
| FaxNumber: | 4143516999 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2006 | ||||||||
| LastUpdateDate: | 01/27/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246ZE0600X | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic |
No ID Information.