Individual
SABO BUKAR TANIMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476-5213
(715) 393-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME96549
FL
207RG0100X
Gastroenterology Physician
35.147175
OH
207RG0100X
Gastroenterology Physician
Primary
51692
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35306700
—
WI
Enumeration date
08/21/2006
Last updated
03/06/2023
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