Individual
DR. SIMIN GOLESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2424 S 90TH ST, WEST ALLIS, WI 53227-2455
(414) 328-8080
(414) 328-8084
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
82430
WI
2086S0127X
Trauma Surgery Physician
82430-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254931
—
WI
Enumeration date
05/30/2017
Last updated
09/03/2025
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