Mast, Alan E.

Mast, Alan E. is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Dept Of Pathology, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Mast, Alan E. can be contacted via phone (414) 805-6966.

Contact Information

Primary practice address
9200 W Wisconsin Ave Dept Of Pathology Milwaukee WI 53226-3522
Phone: (414) 805-6966
Fax: (414) 805-6980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 45998 Wisconsin

Profile Details

NPI number 1619991205
LBN Legal business name Mast, Alan E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated May 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619991205 NPPES
Wisconsin MEDICAID 1619991205

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