Individual
DR. DENNIS BANEZ ZAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 E MORELAND BLVD, WESTBROOK PRIMARY CARE AND OB/GYN CLINIC, WAUKESHA, WI 53186-2939
(262) 352-5700
(262) 532-5701
Mailing address
2315 E MORELAND BLVD, WESTBROOK PRIMARY CARE AND OB/GYN CLINIC, WAUKESHA, WI 53186-2939
(262) 352-5700
(262) 532-5701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53175
WI
208000000X
Pediatrics Physician
53175
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003940784
—
WI
05
—
278423800
—
FL
Enumeration date
03/15/2007
Last updated
10/07/2011
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