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Individual

DR. ELIZABETH SHARON ALBANESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
911 E CADY ST, WATERTOWN, WI 53094-3911
(920) 390-9215
Mailing address
911 E CADY ST, WATERTOWN, WI 53094-3911
(920) 390-9215

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
960-025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0732240001
PPG GROUP DMERC #
05
1558374975
WI
05
199797717
AR
01
P01192554
RAILROAD MEDICARE
AR
Enumeration date
08/15/2006
Last updated
04/28/2017
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