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1073200523
LUU QUANG PHAM
MILWAUKEE, WI
NPI
1073200523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
LUU QUANG PHAM MD
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-4583
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Mailing Address
LUU QUANG PHAM MD
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-4583
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