Individual
SIAMAK ARASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19115 W CAPITOL DR, 117, BROOKFIELD, WI 53045
(262) 781-0240
(262) 373-0148
Mailing address
19115 W CAPITOL DR, 117, BROOKFIELD, WI 53045-2754
(262) 781-0240
(262) 373-0148
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
41661
WI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
41661-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083680417
BLUE SHIELD
WI
05
—
32527500
—
WI
Enumeration date
02/26/2006
Last updated
08/22/2018
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