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Individual

SAMMY U REHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
135 SOUTH GIBSON STREET, MEDFORD, WI 54451-1622
(715) 748-8100
Mailing address
135 SOUTH GIBSON STREET, MEDFORD, WI 54451
(715) 748-8100

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
44688
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43500000
WI
Enumeration date
08/11/2006
Last updated
05/14/2012
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