Individual
NYAMA M SILLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 430, MILWAUKEE, WI 53215-3669
(414) 649-5038
(414) 385-2481
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
258171
MA
208200000X
Plastic Surgery Physician
Primary
55098-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032119
—
WI
01
—
258171
MASSACHUSETTS MEDICAL LICENSE
MA
01
—
55098-20
WISCONSIN STATE LICENSE
WI
Enumeration date
07/20/2009
Last updated
09/16/2024
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