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Individual

MARVIN EDWARD LAUWASSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3070 N 51ST ST, SUITE 402, MILWAUKEE, WI 53210-1645
(414) 463-4259
(414) 463-2728
Mailing address
3070 N 51ST ST, SUITE 402, MILWAUKEE, WI 53210-1645
(414) 463-4259
(414) 463-2728

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
18393-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30172000
WI
Enumeration date
05/31/2006
Last updated
09/07/2007
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