Primo R Tamayo M.D.

NPI 1093738015 - Internal Medicine - 207R00000X

NPI Details
NPI 1093738015
Gender Male
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2501 W SILVER SPRING DR
GLENDALE WI, 53209-4217, US
Phone (414) 461-9250
Fax (414) 461-3553
Business Location
2501 W SILVER SPRING DR
GLENDALE WI, 53209-4217, US
Phone (414) 461-9250
Fax (414) 461-3553
Toxanomy
Taxonomy Code 207R00000X
License State Wisconsin
License Number 17680
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According to our database, Dr. Primo R Tamayo M.D. NPI is 1093738015, taxonomy code is 207R00000X and license number is 17680, license state is located at Wisconsin. Primo R Tamayo M.D. physically located at 2501 W Silver Spring Dr, Glendale WI, 53209-4217. NPI Number Primo R Tamayo M.D. has the Individual type.

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1093738015 NPI number is provided on an as is basis without warranty of any kind. 1093738015 is maintained by the National Plan & Provider Enumeration System. The contents of Primo R Tamayo M.D. are for informational purposes only.