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1013947662
TITO LAMONT IZARD
MILWAUKEE, WI
NPI
1013947662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 39584-20)
Enumeration Date
2006-07-03
Last Update Date
2024-07-03
Business Address
TITO LAMONT IZARD M.D.
2555 N DR MARTIN LUTHER KING JR DR
MILWAUKEE, WI 53212-2709
Phone number: 414-372-8080
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Mailing Address
TITO LAMONT IZARD M.D.
2555 N MARTIN LUTHER KING DR MILWAUKEE HEALTH SERVICES INC
MILWAUKEE, WI 53212-2709
Phone number: 414-372-8080
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