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Individual

DR. TINA G DAMARJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
925 N 87TH ST, PEDIATRIC OPHTHALMOLOGY, MILWAUKEE, WI 53226-4812
(414) 955-2020
Mailing address
925 N 87TH ST, PEDIATRIC OPHTHALMOLOGY, MILWAUKEE, WI 53226-4812
(414) 955-2020

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01071251A
IN
207W00000X
Ophthalmology Physician
Primary
65801
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184935918
WI
Enumeration date
06/26/2010
Last updated
11/29/2021
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