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Organization

DRS. FABRIC, SHAFRIN AND BLOOM,S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH S FABRIC M.D. (PRESIDENT)
(414) 332-0606
Entity
Organization

Contact information

Practice address
5150 N PORT WASHINGTON RD, #251, MILWAUKEE, WI 53217-5474
(414) 332-0606
(414) 967-3604
Mailing address
5150 N PORT WASHINGTON RD, #251, MILWAUKEE, WI 53217-5474
(414) 332-0606
(414) 967-3604

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
05/18/2006
Last updated
12/15/2008
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