EDWARD BANTAMOI, MD

MD

Family Medicine Physician

NPI: 1457376758IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

48796(WI)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 1996

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Contact & Hours

Address: 2502 S ASHLAND AVE
ASHWAUBENON, WI 54304
Phone: (920) 496-4700

Quick Facts

NPI: 1457376758
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 30

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