Individual
DR. DAVID E PRYBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, WEST ALLIS, WI 53227-1035
(414) 456-5950
(414) 327-7639
Mailing address
11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, WEST ALLIS, WI 53227-1035
(414) 456-5950
(414) 327-7639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35625
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000217Q
HUMANA
—
05
—
1770536534
—
WI
Enumeration date
05/19/2006
Last updated
04/23/2014
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