Dr. Albert Jerviss Alter Jr., MD
Radiology, Diagnostic Radiology in Madison, WI. Individual provider (NPI-1).
NPI number1386604346
StatusActive
Last updated in NPPESJan 8, 2019
Details
- NPI
- 1386604346
- Entity type
- Individual (NPI-1)
- Name
- Dr. Albert Jerviss Alter Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2006
- Last updated
- Jan 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 19772-020 | WI | Yes |
| 2085B0100X | Radiology, Body Imaging | 19772-020 | WI | |
| 2085N0904X | 19772-020 | WI | ||
| 2085R0202X | Radiology, Diagnostic Radiology | 19772 | WI | |
| 2085U0001X | Radiology, Diagnostic Ultrasound | 19772-020 | WI |
Practice location
6701 Seybold RdSte 204
Madison, WI 53719-1362
Phone 608-271-7015 · Fax 608-271-7015
Mailing address
W9107 State Route 39Blanchardville, WI 53516-9671
Phone 608-523-4506 · Fax 608-271-7015
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