Organization
ABE F. GOLDBAUM M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABE FRANK GOLDBAUM M.D. (PRESIDENT)
(262) 366-1929
Entity
Organization
Contact information
Practice address
2901 W KK RIVER PKWY, STE 106,, MILWAUKEE, WI 53215-3677
(414) 649-7710
Mailing address
2604 MEADOWBROOK RD, WAUKESHA, WI 53188-1394
(262) 366-1929
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
34054
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33337700
—
WI
Enumeration date
10/19/2006
Last updated
12/01/2010
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