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Physicians Allergy & Immunology

Provider NPI: 1700103272

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 414-266-6840  Fax: 414-266-6437

Business Mailing Address:
Tel: 414-266-6840  Fax: 414-266-6437

NPI Information:
NPI: 1700103272
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Allergy & Immunology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2080P0201X





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