Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 65884 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | 036090274 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 65884 | WI |
NPI | 1962454470 |
---|---|
Provider Name | Mitchell T Saltzberg |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 25/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036090274 | (05) | IL |
060063068 | RAILROAD MEDICARE (01) | |
1962454470 | (05) | WI |
G80602 | (02) |