Dr. Clifford D Greenbaum
Podiatrist
8003 N Port Washington Rd
Milwaukee
, Wisconsin 53217-2647
Dr. Clifford D Greenbaum
Podiatrist
8003 N Port Washington Rd
Milwaukee
, Wisconsin 53217-2647
(414) 228-7005
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Clifford D Greenbaum
- 8003 N Port Washington Rd
- Milwaukee, WI
- Zip : 53217-2647
- Fax : (414) 228-7005
- Phone : (414) 228-6444
Second Address
- Dr. Clifford D Greenbaum
- 8003 N Port Washington Rd
- Milwaukee, WI
- Zip : 53217-2647
- Fax : (414) 228-7005
- Phone : (414) 228-6444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 658025 | WI |
| Y | 222Z00000X | Podiatrist | 658025 | WI |
National Provider Identifier
| NPI | 1003990961 |
|---|---|
| Provider Name | Dr. Clifford D Greenbaum |
| First Address | Milwaukee, WI 53217-2647 |
| Second Address | Milwaukee, WI 53217-2647 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 43214600 | (05) | WI |
| 658025 | WISCONSIN STATE LIC. (01) | WI |
| BG2750986 | DEA (01) | WI |
| U19649 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.