Individual
DAVID IMSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W168 N11237 WESTERN AVE, GERMANTOWN, WI 53022-4049
(262) 253-5060
Mailing address
W168 N11237 WESTERN AVE, GERMANTOWN, WI 53022-4049
(262) 253-5060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18979
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31223000
—
WI
Enumeration date
02/09/2006
Last updated
10/22/2010
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