Individual
FARZAD REZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
624 N 59TH ST, MILWAUKEE, WI 53213-4214
(203) 738-9247
Mailing address
624 N 59TH ST, MILWAUKEE, WI 53213-4214
(203) 738-9247
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
51745-20
WI
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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