Healthcare Provider Details

I. General information

NPI: 1154826808
Provider Name (Legal Business Name): SALOMON COHEN COHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 N PROSPECT AVE
MILWAUKEE WI
53211-4445
US

IV. Provider business mailing address

2311 N PROSPECT AVE
MILWAUKEE WI
53211-4445
US

V. Phone/Fax

Practice location:
  • Phone: 414-319-3000
  • Fax:
Mailing address:
  • Phone: 414-319-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number87630-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: