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Physicians Internal Medicine

Provider NPI: 1336379775

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 414-805-6850  Fax: 414-805-6851

Business Mailing Address:
Tel: 414-805-6850  Fax: 414-805-6851

NPI Information:
NPI: 1336379775
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 208M00000X





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