Individual
TITO LAMONT IZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 464-6321
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INC, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 372-1705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39584-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32607000
—
WI
Enumeration date
07/03/2006
Last updated
07/03/2024
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