Organization
TOSA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANILKUMAR DONIPARTHI M.D. (PRESIDENT)
(414) 777-1811
Entity
Organization
Contact information
Practice address
830 N 109TH ST, SUITE 1, WAUWATOSA, WI 53226-3754
(414) 777-1811
Mailing address
830 N 109TH ST, SUITE 1, WAUWATOSA, WI 53226-3754
(414) 777-1811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38316
WI
Other
Enumeration date
01/13/2009
Last updated
12/07/2012
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