Individual
DR. AMANPREET DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 E RYAN RD, OAK CREEK, WI 53154
(414) 570-3590
(414) 570-3599
Mailing address
200 E RYAN RD, OAK CREEK, WI 53154-4563
(414) 570-3590
(414) 570-3599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71664
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092284
—
WI
Enumeration date
07/05/2018
Last updated
11/30/2021
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