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Organization
PEDIATRIC EAR, NOSE & THROAT SPECIALISTS SC
Active
Organization
PEDIATRIC EAR, NOSE & THROAT SPECIALISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J BESTE M.D. (PRESIDENT)
(414) 266-2761
Entity
Organization
Contact information
Practice address
9000 W WISCONSIN AVE, SUITE 265, MILWAUKEE, WI 53226-3518
(414) 266-2761
(414) 266-2766
Mailing address
9000 W WISCONSIN AVE, SUITE 265, MILWAUKEE, WI 53226-3518
(414) 266-2761
(414) 266-2766
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
22968
WI
207YP0228X
Pediatric Otolaryngology Physician
43113
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30581400
—
WI
05
—
34060600
—
WI
Enumeration date
02/16/2007
Last updated
05/30/2012
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