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Individual

STEVEN M WALDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3610 MICHELLE WITMER MEMORIAL DR STE 110, NEW BERLIN, WI 53151-5281
(262) 821-1588
(262) 821-6644
Mailing address
3610 MICHELLE WITMER MEMORIAL DR STE 110, NEW BERLIN, WI 53151-5281
(262) 821-1588
(262) 821-6644

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
579
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0957820001
DME
01
4281709
AETNA
05
43212600
WI
01
70866
UNITED HEALTHCARE
01
759170
1ST HEALTH
01
85899
WPS
Enumeration date
08/09/2006
Last updated
12/04/2007
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