Provider Demographics
NPI:1083680847
Name:PENNEY, ALBERT DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:DAVID
Last Name:PENNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:17280 W NORTH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-4366
Mailing Address - Country:US
Mailing Address - Phone:262-754-8000
Mailing Address - Fax:262-754-8008
Practice Address - Street 1:17280 W NORTH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-4366
Practice Address - Country:US
Practice Address - Phone:262-754-8000
Practice Address - Fax:262-754-8008
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI45953207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology