Individual
NEIL E. WAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 E NEWPORT AVE, SUITE 118, MILWAUKEE, WI 53211-2984
(414) 961-8886
(414) 964-1223
Mailing address
2015 E NEWPORT AVE, SUITE 118, MILWAUKEE, WI 53211-2984
(414) 961-8886
(414) 964-1223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23290
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30307300
—
WI
Enumeration date
05/31/2006
Last updated
07/11/2007
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