Individual
TAHA JAMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4916 N WATERFORD DR, APPLETON, WI 54913-6608
(920) 733-1786
Mailing address
4916 N WATERFORD DR, APPLETON, WI 54913-6608
(920) 733-1786
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
52090-020
WI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01062459A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036-117176
IL
Other
Enumeration date
06/21/2006
Last updated
11/09/2011
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