Individual
DR. AFTAB A ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDSC
Contact information
Practice address
3601 30TH AVE #104, KENOSHA, WI 53144
(262) 652-4878
(262) 652-4974
Mailing address
3601 30TH AVE #104, KENOSHA, WI 53144
(262) 652-4878
(262) 652-4974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21598
WI
207X00000X
Orthopaedic Surgery Physician
4301099576
MI
207X00000X
Orthopaedic Surgery Physician
48834
CO
207X00000X
Orthopaedic Surgery Physician
PT12136
ND
207XS0106X
Orthopaedic Hand Surgery Physician
21598
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30186800
—
WI
Enumeration date
12/21/2006
Last updated
12/17/2015
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