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Individual

DR. DONALD GERHARD BASEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.B.B.CH.

Contact information

Practice address
9000 W WISCONSIN AVE, DIVISION OF GENETICS, MILWAUKEE, WI 53226-4874
(414) 266-2979
(414) 266-1616
Mailing address
9000 W WISCONSIN AVE, DIVISION OF GENETICS, MILWAUKEE, WI 53226-4874
(414) 266-2979
(414) 266-1616

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
54954
WI
208000000X
Pediatrics Physician
54954
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649478553
WI
Enumeration date
07/03/2007
Last updated
03/01/2024
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