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Organization
INFECTIOUS DISEASE SPECIALISTS OF SE WI, SC
Active
Organization
INFECTIOUS DISEASE SPECIALISTS OF SE WI, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M LETZER DO (SECRETARY / TREASURER)
(262) 786-4550
Entity
Organization
Contact information
Practice address
150 S. SUNNY SLOPE RD, SUITE 136, BROOKFIELD, WI 53005
(262) 786-4550
(262) 786-4552
Mailing address
150 S. SUNNY SLOPE RD, SUITE 136, BROOKFIELD, WI 53005
(262) 786-4550
(262) 786-4552
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
12/02/2011
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