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Individual
DR. ANAS KIZAWI
Active
Individual
DR. ANAS KIZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.147812
IL
207RN0300X
Nephrology Physician
Primary
1008-320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165136
—
WI
Enumeration date
06/14/2016
Last updated
01/13/2022
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