Individual
DR. ALIX F KOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8905 W LINCOLN AVE, WEST ALLIS, WI 53227-2468
(414) 328-6000
(414) 328-8536
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036.135542
IL
207V00000X
Obstetrics & Gynecology Physician
73700
WI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
036.135542
IL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
73700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102895
—
WI
Enumeration date
06/24/2010
Last updated
08/18/2023
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