# BURTON A WAISBREN MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497958839
- **Authorized official:** DR. BURTON A. WAISBREN I M.D. (PRESIDENT)
- **Authorized official phone:** (414) 771-5900

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 11016 | WI | — |
| 207RI0200X | Infectious Disease Physician | 11016 | WI | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 04/20/2008