Individual
ELIZABETH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-8000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-1667
(627) 678-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34069300
—
WI
Enumeration date
07/24/2006
Last updated
07/13/2023
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