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Individual

DAVID L ISAACS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
945 N 12TH ST, GREAT LAKES RADIOLOGISTS, MILWAUKEE, WI 53202
(262) 786-3107
(262) 780-0442
Mailing address
945 N 12TH ST, GREAT LAKES RADIOLOGISTS, MILWAUKEE, WI 53202
(262) 786-3107
(262) 780-0442

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
47962
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34659100
WI
Enumeration date
03/10/2006
Last updated
08/21/2007
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