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Individual

DR. JOSEPH LEE AMARAL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5484
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3484
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518486794
WI
Enumeration date
09/19/2017
Last updated
10/04/2017
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