Individual
DR. ERNESTO C CABABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 763-2411
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22075-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050090316
RAIL ROAD MEDICARE
—
05
—
30205600
—
WI
Enumeration date
11/23/2005
Last updated
02/14/2009
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