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Eric Wideburg, DO
Diagnostic Radiology Physician in Thiensville, Wisconsin
NPI 1679004469

Eric Wideburg is a Diagnostic Radiology Physician based in Chicago, WI and is specialized in Diagnostic Radiology. Eric Wideburg practices in Thiensville, WI and has the professional credentials of DO. The NPI Number for Eric Wideburg is 1679004469 and holds a License No. 72422-21 (Wisconsin).

The current practice location address for Eric Wideburg is 10945 N Port Washington Rd Ste 201, Thiensville, WI and can be reached out via phone at 262-292-3151 and via fax at 262-643-4707.

Location: 10945 N Port Washington Rd Ste 201, Thiensville, WI, 60677-0321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679004469
Provider Name
Eric Wideburg
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
10945 N Port Washington Rd Ste 201, Thiensville, WI, 60677-0321
Phone Number
262-292-3151
Fax Number
262-643-4707
Provider Enumeration Date
03/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10945 N Port Washington Rd Ste 201
City
Thiensville
State
Wisconsin
Zip
53092-5078
Phone Number
262-292-3151
Fax Number
262-643-4707
person
Provider Business Mailing Address Details
Address
10945 N Port Washington Rd Ste 201
City
Thiensville
State
Wisconsin
Zip
53092-5078
Phone Number
262-292-3151
Fax Number
262-643-4707
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
72422-21 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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