Glenn Eugene Sondag in Brookfield - Dermatology

Glenn Eugene Sondag - NPI 1518950120

Glenn Eugene Sondag is a Dermatology in Brookfield, Wisconsin. Glenn Eugene Sondag practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Glenn Eugene Sondag is 1518950120. The last update date is 2008-04-20.

Glenn Eugene Sondag's current location address is 13800 W North Ave, Brookfield, Wisconsin. You can contact this provider via phone number 2627544488 and fax number 2627544940. The mailing address for Glenn Eugene Sondag is 13800 W North Ave, Brookfield, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn Eugene Sondag
Address 13800 W North Ave, Brookfield, Wisconsin
Phone Number 2627544488
Fax Number 2627544940
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1518950120
Provider Enumeration Date 2005-08-30
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 13800 W North Ave
City Brookfield
State Wisconsin (WI)
Post Code 530054974
Phone Number 2627544488
Fax Number 2627544940

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 21528020
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30302600 WI --

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FAQs about Glenn Eugene Sondag

What is the unique 10-digit identification code issued to Glenn Eugene Sondag by the Centers for Medicare & Medicaid Services?

The Glenn Eugene Sondag has been assigned the NPI (National Provider Identifier) 1518950120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Glenn Eugene Sondag?

The Glenn Eugene Sondag is situated at 13800 W North Ave, in the city of Brookfield, state of WI, with the zip code 530054974.

What is Glenn Eugene Sondag's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Glenn Eugene Sondag is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.

When was the Glenn Eugene Sondag's 1518950120 issued?

The Glenn Eugene Sondag's 1518950120 was issued on 2005-08-30.

As of what date were the details pertaining to Glenn Eugene Sondag last refreshed?

The information related to the Glenn Eugene Sondag, including its address, specialty, and other relevant details, was last updated on 2008-04-20.

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