Individual
DR. MARCELLE NEUBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF DERMATOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5300
(414) 805-5323
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF DERMATOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5300
(414) 805-5323
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
31156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000128G
HUMANA
—
01
—
070006856
RAILROAD MEDICARE
—
05
—
1992757660
—
WI
Enumeration date
05/17/2006
Last updated
03/31/2014
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