Individual
DR. NEIL TABAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1000
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
33918-020
WI
207L00000X
Anesthesiology Physician
Primary
ME124692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3193500
—
WI
Enumeration date
12/02/2005
Last updated
11/25/2019
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