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Irina Kostova Dimitrova, MD
Gynecologic Oncology Physician in Milwaukee, Wisconsin
NPI 1003847237

Irina Kostova Dimitrova is a Gynecologic Oncology Physician based in Glendale, WI and is specialized in Gynecologic Oncology. Irina Kostova Dimitrova practices in Milwaukee, WI and has the professional credentials of MD. The NPI Number for Irina Kostova Dimitrova is 1003847237 and holds a License No. 01088502A (Wisconsin).

The current practice location address for Irina Kostova Dimitrova is 2350 N Lake Dr, Milwaukee, WI and can be reached out via phone at 414-585-1949.

Location: 2350 N Lake Dr, Milwaukee, WI, 53212-1060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003847237
Provider Name
Irina Kostova Dimitrova
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2350 N Lake Dr, Milwaukee, WI, 53212-1060
Phone Number
414-585-1949
Fax Number
Provider Enumeration Date
07/05/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0300248 01 WA LABOR AND INDUSTRY
1003847237 05 WA
06728766 05 CO
MD00521 01 AK ALASKA DSHS
institution
Provider Business Practice Location Address Details
Address
2350 N Lake Dr
City
Milwaukee
State
Wisconsin
Zip
53211-4528
Phone Number
414-585-1949
Fax Number
person
Provider Business Mailing Address Details
Address
2350 N Lake Dr
City
Milwaukee
State
Wisconsin
Zip
53211-4528
Phone Number
414-585-1949
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
4301080622 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
01088502A (Indiana)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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