Provider Demographics
NPI:1154515849
Name:CRUZ, MEREDITH ORDONEZ (MD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:ORDONEZ
Last Name:CRUZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:MATERNAL AND FETAL MEDICINE
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-6624
Mailing Address - Fax:414-805-6622
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:MATERNAL AND FETAL MEDICINE
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-6624
Practice Address - Fax:414-805-6622
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2012-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI56910207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1154515849Medicaid
WI68086 2533Medicare PIN
WI73601 2545Medicare PIN