MEDICARE: DAVID S ABELSON MDSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770511099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID S ABELSON MDSC

Provider Business Mailing Address
First Line	:	4555 WEST SCHROEDER DRIVE
Second Line	:	SUITE 170
City	:	MILWAUKEE
State	:	WI
Zip	:	53223
Country	:	US
Telephone Number	:	414-365-3210
Fax Number	:	414-365-3225

Provider Business Practice Location Address
First Line	:	1834 W WISCONSIN AVENUE
Second Line	:	SUITE 100
City	:	MILWAUKEE
State	:	WI
Zip	:	53233
Country	:	US
Telephone Number	:	414-933-9100
Fax Number	:	414-933-9200

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	DAVID S ABELSON
Credential	:	MD
Telephone Number	:	414-933-9100

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	03/26/2008

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