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Individual

AMANI A MAGUID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21675 E MORELAND BLVD STE 100, WAUKESHA, WI 53186
(262) 657-5446
(262) 395-4068
Mailing address
21675 E MORELAND BLVD STE 100, WAUKESHA, WI 53186-3000
(262) 657-5446
(262) 395-4068

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
29206
WI
207N00000X
Dermatology Physician
Primary
29206
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31423400
WI
Enumeration date
07/28/2006
Last updated
08/23/2018
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