Individual
EMAN WJA JAMMALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SERVICE RD, KIEL, WI 53042-1297
(920) 894-2636
Mailing address
1001 SERVICE RD, KIEL, WI 53042-1297
(920) 894-2636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69584
WI
Other
Enumeration date
07/07/2015
Last updated
12/06/2021
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