Individual
DIANE H NORBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-8437
(608) 262-7174
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
19536
WI
207ZI0100X
Immunopathology Physician
19536
WI
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
19536
WI
Other
Enumeration date
04/01/2006
Last updated
05/21/2009
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