Organization · NPI-2

Barry M Altenberg MD Sc

Clinic/Center · Racine, WI

NPI number1669565347
StatusActive
Last updated in NPPESJun 25, 2008

Details

NPI
1669565347
Entity type
Organization (NPI-2)
Legal business name
Barry M Altenberg MD Sc
Organization subpart
No
Enumeration date
Oct 2, 2006
Last updated
Jun 25, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterWI15872WIYes

Other names

  • Altenberg Clinic (Doing Business As)

Practice location

5802 Washington Ave
Racine, WI 53406

Phone 262-886-5700 · Fax 262-886-4747

Mailing address

1055 Prairie Dr
Suite D
Racine, WI 53406

Phone 262-898-7100 · Fax 262-898-7171

Authorized official

Barry M Altenberg
Owner/President
2628987100

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