Individual
SELAMI DOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2626 N 76TH ST, WAUWATOSA, WI 53213-1137
(414) 774-7794
Mailing address
2626 N 76TH ST, WAUWATOSA, WI 53213-1137
(414) 774-7794
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1485-019
WI
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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