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Individual

DR. ALAN HERBERT GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 N PROSPECT AVE, APT. 11C, MILWAUKEE, WI 53202-3070
(414) 964-2120
Mailing address
1800 N. PROSPECT AVE., APT. 11C, MILWAUKEE, WI 53202-3069
(414) 964-2120

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24162
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24162
MEDICAL LICENCE NUMBER
WI
Enumeration date
09/19/2013
Last updated
03/07/2023
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