Individual
DR. AMIRAH JONADOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12203 CORPORATE PKWY, MEQUON, WI 53092-3388
(262) 387-8220
(262) 387-8239
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83172
WI
207Q00000X
Family Medicine Physician
N3766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100181565
—
WI
Enumeration date
06/09/2009
Last updated
08/20/2024
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