Individual
DR. KOOROUSH SAEIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 AMERICAN AVE, SUITE 403, WAUKESHA, WI 53188-5071
(262) 549-1516
(262) 549-0648
Mailing address
721 AMERICAN AVE, SUITE 403, WAUKESHA, WI 53188-5071
(262) 549-1516
(262) 549-0648
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
29297
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31556700
—
WI
Enumeration date
03/15/2006
Last updated
12/01/2014
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