Tosa Medical Group LLC

NPI #1770720765 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1770720765
Entity Type: Organization
Organization Name: Tosa Medical Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 13, 2009
Last Updated: Dec 7, 2012

Practice Location

Address: 830 N 109TH ST
Address 2: SUITE 1
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-3754
Phone: (414) 777-1811

Authorized Official

Name: DR. ANILKUMAR DONIPARTHI, M.D.
Title: PRESIDENT
Phone: (414) 777-1811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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