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Individual

MARIE MONA FORGIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1020 N 12TH ST, OB/GYN DEPARTMENT, MILWAUKEE, WI 53233-1308
(414) 219-5725
Mailing address
11120 W GILBERT AVE, UNIT F, WAUWATOSA, WI 53226-2255
(510) 579-5633

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56970-1
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100031128
WI
Enumeration date
03/28/2010
Last updated
10/23/2023
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