Individual
SHAMIM ANWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6799
(715) 848-4600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50136
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34761500
—
WI
01
—
P00452473
RAILROAD
WI
Enumeration date
10/16/2006
Last updated
09/26/2018
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