Organization
MAURICIO TOVAR MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICIO TOVAR MD (MD OWNER)
(414) 281-9533
Entity
Organization
Contact information
Practice address
4931 S 27TH ST, SUITE 100, GREENFIELD, WI 53221
(414) 281-9533
(414) 281-9548
Mailing address
PO BOX 511774, MILWAUKEE, WI 53202
(414) 281-9533
(414) 281-9548
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31738
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32105700
—
WI
Enumeration date
09/07/2006
Last updated
06/19/2008
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