Individual
ALEXANDRIA BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0531
(414) 805-4608
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63235
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
63235
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285976860
—
WI
Enumeration date
03/21/2013
Last updated
10/01/2020
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