AFTAB A ANSARI, M.D., S.C.
Medical Practice at 30 Ave, Kenosha, WI

License number
Wisconsin 21598
Category
Medical Practice
Type
Hand Surgery
Owner
Name: DR. AFTAB A ANSARI M.D., S.C.
Title: OWNER
Phone: (262) 652-4878
Address
Address
3535 30Th Ave SUITE 101B, Kenosha, WI 53144
National Provider ID: 1104009240
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AFTAB A. ANSARI, M.D., S.C

3535 30 Ave, Kenosha, WI 53144

Status:
Inactive
Registration:
Mar 21, 1979
State ID:
5A11653
Business type:
Service Corporation

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