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Individual

DR. BARBARA-ANNE FAISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7810 WEST GOOD HOPE ROAD, MILWAUKEE, WI 53223-4518
(414) 586-9255
(414) 586-9282
Mailing address
1134 W. NORTH AVENUE, MILWAUKEE, WI 53205-1134
(414) 374-9575
(414) 586-9282

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24910
WI
208D00000X
General Practice Physician
24910
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043306731
WI
Enumeration date
10/04/2006
Last updated
01/23/2009
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