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Individual

DR. CLIFFORD D GREENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
8003 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-2647
(414) 228-6444
(414) 228-7005
Mailing address
8003 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-2647
(414) 228-6444
(414) 228-7005

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
658025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43214600
WI
01
658025
WISCONSIN STATE LIC.
WI
Enumeration date
10/25/2006
Last updated
03/07/2023
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