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Organization
BARRY M ALTENBERG MD SC
Active
Organization
BARRY M ALTENBERG MD SC
Active
Other names
ALTENBERG CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY M ALTENBERG MD (OWNER/PRESIDENT)
(262) 898-7100
Entity
Organization
Contact information
Practice address
5802 WASHINGTON AVE, RACINE, WI 53406
(262) 886-5700
(262) 886-4747
Mailing address
1055 PRAIRIE DR, SUITE D, RACINE, WI 53406
(262) 898-7100
(262) 898-7171
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
WI15872
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31175300
—
WI
05
—
32891300
—
WI
Enumeration date
10/02/2006
Last updated
06/25/2008
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