Individual
MR. ALAN E. MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Mailing address
9200 W WISCONSIN AVE, DEPT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
45998
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619991205
—
WI
Enumeration date
07/27/2006
Last updated
05/05/2014
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