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Individual

DR. STEPHEN E ABRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
19409
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
19409-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002000105K
HUMANA
05
1356392823
WI
Enumeration date
05/12/2006
Last updated
10/10/2014
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