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Individual

DR. ERIC J WALBERGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3560
(414) 266-6092
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3560
(414) 266-6092

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
28113
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002000328Y
HUMANA
05
1710939319
WI
05
30749100
WI
Enumeration date
05/16/2006
Last updated
09/06/2011
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