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Individual

MS. LOUELLA B. AMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC PULMONARY DISEASE, MILWAUKEE, WI 53226-4874
(414) 266-6730
(414) 266-6742
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC PULMONARY DISEASE, MILWAUKEE, WI 53226-4874
(414) 266-6730
(414) 266-6742

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
47547
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871540518
WI
05
34838500
WI
Enumeration date
05/28/2006
Last updated
09/24/2012
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