William J. Listwan MD

NPI 1528007028 - Internal Medicine - 207R00000X

NPI Details
NPI 1528007028
Gender Male
Enumeration Date 06/06/2006
Last Updated 01/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
555 S 108TH ST
QUAD-MED
WEST ALLIS WI, 53214-1100, US
Phone (414) 566-8210
Fax
Business Location
N19W26595 HONEYSUCKLE CT
UNIT A
PEWAUKEE WI, 53072-5414, US
Phone (414) 750-4133
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Wisconsin
License Number 16862
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According to our database, Dr. William J. Listwan MD NPI is 1528007028, taxonomy code is 207R00000X and license number is 16862, license state is located at Wisconsin. William J. Listwan MD physically located at 555 S 108th St, West Allis WI, 53214-1100. NPI Number William J. Listwan MD has the Individual type.

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1528007028 NPI number is provided on an as is basis without warranty of any kind. 1528007028 is maintained by the National Plan & Provider Enumeration System. The contents of William J. Listwan MD are for informational purposes only.