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1922054519
ISMAEL R STAROMANA
KENOSHA, WI
NPI
1922054519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WI 25033)
Enumeration Date
2006-05-25
Last Update Date
2008-12-19
Business Address
-- ISMAEL R STAROMANA MD
3734 7TH AVE DOMINICAN BUILDING #15
KENOSHA, WI 53140-5525
Phone number: 262-658-3706
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Mailing Address
-- ISMAEL R STAROMANA MD
3734 7TH AVE DOMINICAN BUILDING #15
KENOSHA, WI 53140-5525
Phone number: 262-658-3706
Copy
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