Organization
A.Q.KHAN, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL Q KHAN M.D. (PRESIDENT)
(262) 787-4026
Entity
Organization
Contact information
Practice address
3811 SPRING ST, RACINE, WI 53405-1667
(262) 687-6260
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34139
WI
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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