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Organization

BURTON A WAISBREN MD SC

Active
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Organization

BURTON A WAISBREN MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BURTON A. WAISBREN I M.D. (PRESIDENT)
(414) 771-5900
Entity
Organization

Contact information

Practice address
3077 N MAYFAIR RD, STE 100, WAUWATOSA, WI 53222-4305
(414) 771-5900
(414) 771-4908
Mailing address
3077 N MAYFAIR RD, STE 100, WAUWATOSA, WI 53222-4305
(414) 771-5900
(414) 771-4908

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11016
WI
207RI0200X
Infectious Disease Physician
Primary
11016
WI

Other

Enumeration date
06/05/2007
Last updated
04/20/2008
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