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Individual

W HARLEY SOBIN

Active
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Individual

W HARLEY SOBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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