Organization
DAVID E. AMOS MDSC
Active
Parent organization
DAVID E. AMOS M.D.S.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID E. AMOS M.D.S.C.
Authorized official
MR. DAVID ESPEJO AMOS SR. M.D. (PHYSICIAN)
(414) 444-7787
Entity
Organization
Contact information
Practice address
5800 W BURLEIGH ST, MILWAUKEE, WI 53210-1516
(414) 444-7787
(414) 831-0335
Mailing address
5800 W BURLEIGH ST, MILWAUKEE, WI 53210-1516
(414) 444-7787
(414) 831-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20543
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30901500
—
WI
Enumeration date
11/09/2010
Last updated
03/23/2011
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