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1386631661
JAWAID QUDDUS
KENOSHA, WI
NPI
1386631661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 45606-020)
Enumeration Date
2005-10-03
Last Update Date
2011-04-01
Business Address
Dr. JAWAID QUDDUS MD, PhD
6123 GREEN BAY ROAD SUITE 120
KENOSHA, WI 53142-2927
Phone number: 262-764-4390
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Mailing Address
Dr. JAWAID QUDDUS MD, PhD
6123 GREEN BAY ROAD SUITE 120
KENOSHA, WI 53142-2927
Phone number: 262-764-4390
Copy
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