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Individual

JOSE O TOLEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2727 N MAYFAIR RD, STE 1, MILWAUKEE, WI 53222-4400
(414) 773-6300
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 773-6300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36016
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32217300
WI
Enumeration date
07/06/2006
Last updated
06/11/2012
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