Individual
DR. DIMA ADL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2350 N LAKE DRIVE, SUITE 302, MILWAUKEE, WI 53211-4528
(414) 298-7104
(414) 298-7117
Mailing address
788 N JEFFERSON ST, SUITE 300/ATTN. KAAREN BUTZEN, MILWAUKEE, WI 53202-3718
(414) 272-8950
(414) 272-0859
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
50804
WI
207RP1001X
Pulmonary Disease Physician
Primary
50804
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
50804
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851365506
—
WI
Enumeration date
02/16/2006
Last updated
11/07/2016
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