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Individual

GILBERT ANTONIO JENOURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5508 W CRAWFORD AVE, MILWAUKEE, WI 53220-2059
(414) 763-5928
Mailing address
5508 W CRAWFORD AVE, MILWAUKEE, WI 53220-2059
(414) 763-5928

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
266123
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
266123
NY
207RP1001X
Pulmonary Disease Physician
266123
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
266123
NY

Other

Enumeration date
10/12/2012
Last updated
10/12/2012
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