Marvin Lyle Birnbaum MD

NPI 1003075573 - Internal Medicine - 207RC0200X

NPI Details
NPI 1003075573
Gender Male
Enumeration Date 06/09/2008
Last Updated 06/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3330 UNIVERSITY AVE
SUITE 300
MADISON WI, 53705-2167, US
Phone (608) 263-9641
Fax (608) 265-4429
Business Location
3330 UNIVERSITY AVE
SUITE 300
MADISON WI, 53705-2167, US
Phone (608) 263-9641
Fax (608) 265-4429
Toxanomy
Taxonomy Code 207RC0200X
License State Wisconsin
License Number 14237020
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According to our database, Prof. Marvin Lyle Birnbaum MD NPI is 1003075573, taxonomy code is 207RC0200X and license number is 14237020, license state is located at Wisconsin. Marvin Lyle Birnbaum MD physically located at 3330 University Ave, Madison WI, 53705-2167. NPI Number Marvin Lyle Birnbaum MD has the Individual type.

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1003075573 NPI number is provided on an as is basis without warranty of any kind. 1003075573 is maintained by the National Plan & Provider Enumeration System. The contents of Marvin Lyle Birnbaum MD are for informational purposes only.