Individual
DR. PHILIP RICHARD ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2705 RIB MOUNTAIN WAY, WAUSAU, WI 54401-9291
(715) 302-0130
(715) 842-4058
Mailing address
2705 RIB MOUNTAIN WAY, WAUSAU, WI 54401-9291
(715) 302-0130
(715) 842-4058
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
17796-020
WI
2085R0202X
Diagnostic Radiology Physician
Primary
17796
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073619623
—
VA
Enumeration date
09/14/2006
Last updated
02/06/2020
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