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Individual

ELIZABETH BART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-6780
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-4789

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068586
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
70835
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100090220
WI
Enumeration date
05/10/2016
Last updated
09/23/2024
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