Individual
AMARILDO ADEMAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 DISCOVERY DR, BROOKFIELD, WI 53045-2862
(262) 513-7100
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71657-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2016
Last updated
09/15/2020
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