Individual
IMMANUEL T OBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 INTERNATIONAL LN STE 201, MADISON, WI 53704-3126
(608) 268-6530
Mailing address
815 FORWARD DR, MADISON, WI 53711-2443
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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