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Individual

MAURICE DUMIT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
2060 N HUMBOLDT AVE, SUITE 300, MILWAUKEE, WI 53212-3504
(414) 265-5606
(414) 265-5649
Mailing address
2060 N. HUMBOLDT AVE, SUITE 300, MILWUAKEE, WI 53212
(414) 265-5606
(414) 265-5649

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6247024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6247-024
PHYSICAL THERAPY LICENSE
WI
Enumeration date
06/14/2006
Last updated
07/08/2007
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