Abraham, Maritoni Molina

Abraham, Maritoni Molina is an individual health care provider with primary practice located at 1220 Dewey Ave , Wauwatosa WI 53213-2504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Abraham, Maritoni Molina can be contacted via phone (414) 773-4312.

Contact Information

Primary practice address
1220 Dewey Ave Wauwatosa WI 53213-2504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 38598-020 Wisconsin

Profile Details

NPI number 1083649925
LBN Legal business name Abraham, Maritoni Molina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 19th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083649925 NPPES
Wisconsin MEDICAID 32380300

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