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Individual

DR. GLORIA H HALVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
FROEDTERT & MED COLLEGE CLIN - EAST, 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST, MILWAUKEE, WI 53226-3522

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18940
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30175400
WI
Enumeration date
05/12/2006
Last updated
07/08/2007
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