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1578560744
DAVID MICHAEL ISRAELSTAM
MADISON, WI
NPI
1578560744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI 17772)
Enumeration Date
2005-07-04
Last Update Date
2008-11-10
Business Address
-- DAVID MICHAEL ISRAELSTAM M.D., Ph.D.
330 S WHITNEY WAY SUITE 104
MADISON, WI 53705-4638
Phone number: 608-236-0450
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Mailing Address
-- DAVID MICHAEL ISRAELSTAM M.D., Ph.D.
5705 ARBOR VITAE PL
MADISON, WI 53705-2546
Phone number: 608-231-2511
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