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Individual

JOHN ADAM OBUDZINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2424-S. 90TH ST., STE 214, WEST ALLIS, WI 53227-2455
(414) 328-8777
(414) 328-8777
Mailing address
100-15TH AVE., STE 180, SOUTH MILWAUKEE, WI 53172-1160
(414) 768-5430
(414) 762-4225

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21407-021
WI
207R00000X
Internal Medicine Physician
5101006817
MI

Other

Enumeration date
11/01/2006
Last updated
11/22/2021
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