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Contact Information

LUCIAN A DURHAM III, M.D., PHD
9200 W WISCONSIN AVE
MILWAUKEE, WI53226-3522
 Phone: 414-955-6900
 Fax: 414-955-6204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LUCIAN A DURHAM III · (Male)

NPI # 1427036540
Status Active
Credentials M.D., PHD
Entity Individual
Enumeration date 01/09/2006
Last updated 01/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 46509
  • WI License # 68603
  • MN Medicaid 011669600
Hospital affiliation(s)
  • FROEDTERT MEMORIAL LUTHERAN HSPTL - (Acute Care)
    9200 W WISCONSIN AVE
    MILWAUKEE, WI 53226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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