Organization
LAKESIDE OB/GYN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MARY TREBIAN M.D. (PRESIDENT/OWNER)
(414) 271-1116
Entity
Organization
Contact information
Practice address
2524 E WEBSTER PL, SUITE 303, MILWAUKEE, WI 53211-4246
(414) 271-1116
Mailing address
2524 E WEBSTER PLACE, SUITE 303, MILWAUKEE, WI 53211-4518
(414) 271-1116
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33771-020
WI
Other
Enumeration date
08/11/2006
Last updated
11/27/2007
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