Individual
MAAIDA ASIF TAUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9916 75TH ST STE 205, KENOSHA, WI 53142-7583
(800) 767-4411
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
(262) 646-1049
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
74719
WI
Other
Enumeration date
03/30/2019
Last updated
10/10/2023
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