Individual
W HARLEY SOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34019
WI
207RG0100X
Gastroenterology Physician
Primary
34019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100007196
MEDICARE RR
WI
05
—
1972550929
—
WI
05
—
31888800
—
WI
Enumeration date
05/27/2006
Last updated
11/23/2021
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