TAHA JAMIL, MD, Pain Medicine APPLETON, WI

Contact Information

TAHA JAMIL, MD

4916 N WATERFORD DR
APPLETON, WI 54913-6608

Phone: 920-733-1786
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation

Indicates primary specialty

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NPI Profile & details for TAHA JAMIL · (Male)

NPI Number	`1609812569`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	06/21/2006
Last updated	11/09/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	IL License # 036-117176 IN License # 01062459A WI License # 52090-020
Hospital affiliation(s)	GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK - (Acute Care) ONE GENESYS PARKWAY GRAND BLANC, MI 48439

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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