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1700058344
KEITH PHAM
MILWAUKEE, WI
NPI
1700058344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036118434)
Enumeration Date
2008-03-24
Last Update Date
2017-04-27
Business Address
Dr. KEITH PHAM M.D.
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-3666
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Mailing Address
Dr. KEITH PHAM M.D.
17659 GRANDVIEW DR
STERLING, IL 61081-8562
Phone number: 815-380-5644
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