Individual
AMARISH A DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-107107
IL
2084N0400X
Neurology Physician
47146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107107 1
—
IL
05
—
1891877213
—
WI
05
—
43516100
—
WI
01
—
DAVEAMA
MERCYCARE INSURANCE
WI
Enumeration date
10/19/2006
Last updated
02/07/2017
Update your record
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