Individual
LYLE M WEINTRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-092677
IL
207Q00000X
Family Medicine Physician
Primary
37650
WI
Other
Enumeration date
10/03/2006
Last updated
12/28/2011
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