Individual
DR. RANDOLPH LIPCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 805-6633
(414) 805-3859
Mailing address
9200 W WISCONSIN AVE, DIVISION OF PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 805-6633
(414) 805-3859
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
31147
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000124V
HUMANA
—
05
—
1891746640
—
WI
05
—
31604600
—
WI
Enumeration date
05/15/2006
Last updated
11/08/2012
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