Individual
DR. LEWIS BRIAN SOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Mailing address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
38884
WI
2086S0102X
Surgical Critical Care Physician
38884
WI
2086S0127X
Trauma Surgery Physician
Primary
38884
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810152093
PHCS
—
01
—
020036383
RR#
—
01
—
1158952
UHC
—
05
—
1760448526
—
WI
Enumeration date
04/21/2006
Last updated
01/28/2025
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