Individual
DR. MILOSH GRUBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 961-3300
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32295-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32033000
—
WI
Enumeration date
12/15/2005
Last updated
07/09/2007
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