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Harry A. Easom, M.D.

Specialist in Milwaukee, WI. Individual provider (NPI-1).

NPI number1295876068
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1295876068
Entity type
Individual (NPI-1)
Name
Harry A. Easom
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 12, 2007
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist14484WIYes

Practice location

2315 N Lake Dr
#617
Milwaukee, WI 53211-4518

Phone 414-271-7200 · Fax 414-271-7278

Mailing address

2315 N Lake Dr
#617
Milwaukee, WI 53211-4518

Phone 414-271-7200 · Fax 414-271-7278

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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