Individual
AMEL TOBAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 325-5244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 325-5244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80093
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100227067
—
WI
Enumeration date
04/09/2019
Last updated
11/30/2023
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