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Individual

DR. PROMISE DZAKPASU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4655 N PORT WASHINGTON RD STE 200, GLENDALE, WI 53212-1076
(414) 247-9530
(414) 247-1875
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36766
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32159400
WI
Enumeration date
06/28/2005
Last updated
07/21/2022
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