Individual
MITCHELL T SALTZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, CARDIOVASCULAR MEDICINE, MILWAUKEE, WI 53226-3522
(414) 955-5611
(414) 456-6515
Mailing address
9200 W WISCONSIN AVE, CARDIOVASCULAR MEDICINE, MILWAUKEE, WI 53226-3522
(302) 733-1507
(302) 733-4998
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
65884
WI
207RC0000X
Cardiovascular Disease Physician
036090274
IL
207RC0000X
Cardiovascular Disease Physician
65884
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090274
—
IL
01
—
060063068
RAILROAD MEDICARE
—
05
—
1962454470
—
WI
Enumeration date
05/16/2006
Last updated
09/25/2017
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