Individual
DR. MAURICIO TOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4931 S 27 ST. SUITE 100, GREENFIELD, WI 53221
(414) 281-9533
(414) 281-9548
Mailing address
4931 S 27 ST. SUITE 100, GREENFIELD, WI 53221
(414) 281-9533
(414) 281-9548
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31738
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427140102
—
WI
05
—
32105700
—
WI
Enumeration date
09/29/2006
Last updated
08/04/2022
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