# DRS. FABRIC, SHAFRIN AND BLOOM,S.C.

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

## Provider details

- **NPI number:** 1710930862
- **Authorized official:** KENNETH S FABRIC M.D. (PRESIDENT)
- **Authorized official phone:** (414) 332-0606

## Contact information

- **Practice address:** 5150 N PORT WASHINGTON RD, \#251, MILWAUKEE, WI 53217-5474
- **Practice address phone:** (414) 332-0606
- **Practice address fax:** (414) 967-3604
- **Mailing address:** 5150 N PORT WASHINGTON RD, \#251, MILWAUKEE, WI 53217-5474
- **Mailing address phone:** (414) 332-0606
- **Mailing address fax:** (414) 967-3604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 12/15/2008