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Individual

DR. LILETH JOY MONDOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9000 W WISCONSIN AVENUE, PEDIATRIC NEUROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Mailing address
9000 W WISCONSIN AVENUE, PEDIATRIC NEUROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
66268
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942597356
WI
Enumeration date
07/06/2011
Last updated
08/10/2022
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