Individual
DR. KEITH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
17659 GRANDVIEW DR, STERLING, IL 61081-8562
(815) 380-5644
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036118434
IL
Other
Enumeration date
03/24/2008
Last updated
04/27/2017
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