Individual
DR. ALBERT JERVISS ALTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 SEYBOLD RD, STE 204, MADISON, WI 53719-1362
(608) 271-7015
(608) 271-7015
Mailing address
W9107 STATE ROUTE 39, BLANCHARDVILLE, WI 53516-9671
(608) 523-4506
(608) 271-7015
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
19772-020
WI
2085N0904X
Nuclear Radiology Physician
19772-020
WI
2085R0202X
Diagnostic Radiology Physician
19772
WI
2085R0202X
Diagnostic Radiology Physician
Primary
19772-020
WI
2085U0001X
Diagnostic Ultrasound Physician
19772-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31053200
—
WI
Enumeration date
03/24/2006
Last updated
01/08/2019
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