Individual
TAMER AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9431 W BELOIT RD STE 108A, MILWAUKEE, WI 53227-4365
(414) 313-2121
Mailing address
9431 W BELOIT RD STE 108A, MILWAUKEE, WI 53227-4365
(414) 313-2121
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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