Individual
ROA QATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 S 108TH ST, WEST ALLIS, WI 53214-1100
(414) 566-6400
Mailing address
2652 N 82ND ST, WAUWATOSA, WI 53213-1023
(708) 653-8008
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56123-20
WI
Other
Enumeration date
11/06/2007
Last updated
07/21/2021
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