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Individual

KWABENA AGYAPONG OSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207Q0000X
TX
208000000X
Pediatrics Physician
Primary
82127
WI
208000000X
Pediatrics Physician
P3404
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100245057
WI
01
P3404
TX LICENSE
TX
Enumeration date
10/20/2011
Last updated
10/05/2023
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