Individual
ANNA B EDLEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER, BROOKFIELD, WI 53045-5197
(262) 532-8300
(262) 532-8600
Mailing address
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER, BROOKFIELD, WI 53045-5197
(262) 532-8300
(262) 532-8600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49961
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073790804
—
WI
Enumeration date
01/23/2008
Last updated
10/12/2011
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