# NINETTE A NASSIF MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720249592
- **Authorized official:** NINETTE A NASSIF (OWNER)
- **Authorized official phone:** (414) 778-1451

## Contact information

- **Practice address:** 10625 W NORTH AVE STE 201, WAUWATOSA, WI 53226-2315
- **Practice address phone:** (414) 778-1451
- **Mailing address:** 10625 W NORTH AVE STE 201, WAUWATOSA, WI 53226-2315
- **Mailing address phone:** (414) 778-1451
- **Mailing address fax:** (414) 778-1865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 29531 | WI | Yes |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 04/14/2026