Charles J. Waisbren MD S.c.

NPI #1447302492 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1447302492
Entity Type: Organization
Organization Name: Charles J. Waisbren MD S.c.
Primary Specialty: Internal Medicine
Enumeration Date: Jan 18, 2007
Last Updated: Mar 7, 2023

Practice Location

Address: 3077 N MAYFAIR RD
Address 2: SUITE 100
City: Wauwatosa
State: Wisconsin
ZIP Code: 53222-4305
Phone: (414) 771-5900

Authorized Official

Name: DR. CHARLES J WAISBREN, MD S.C.
Title: PHYSICIAN
Phone: (414) 771-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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