| Burton A Waisbren Md Sc | |
|
3077 N Mayfair Rd Ste 100 Wauwatosa WI 53222-4305 | |
| (414) 771-5900 | |
| (414) 771-4908 |
| Full Name | Burton A Waisbren Md Sc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 3077 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Burton A. Waisbren (PRESIDENT) |
| Authorized Official Contact | 4147715900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burton A Waisbren Md Sc 3077 N Mayfair Rd Ste 100 Wauwatosa WI 53222-4305 Ph: (414) 771-5900 | Burton A Waisbren Md Sc 3077 N Mayfair Rd Ste 100 Wauwatosa WI 53222-4305 Ph: (414) 771-5900 |
| NPI Number | 1497958839 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497958839 | NPI | - | NPPES |
| 131754002293 | Other | HUMANA | |
| 11016 | Other | WI | LICENSE NUMBER |
| 2784552 | Other | AETNA MEDICARE | |
| 0004299533 | Other | AETNA | |
| 1317540002293 | Other | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11016 (Wisconsin) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 11016 (Wisconsin) | Primary |
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