Individual
DR. ALBY K ANTOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142
(262) 948-6740
(262) 948-6721
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-113334
IL
207Q00000X
Family Medicine Physician
Primary
48314
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34661500
—
WI
Enumeration date
08/03/2006
Last updated
10/18/2023
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