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Individual

SHAHID ALI ATCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6308 8TH AVENUE, SUITE 2000, KENOSHA, WI 53143
(262) 653-5450
(262) 653-5451
Mailing address
6308 8TH AVENUE, SUITE 2000, KENOSHA, WI 53143
(262) 653-5450
(262) 653-5451

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46964
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34551000
WI
Enumeration date
05/26/2006
Last updated
03/13/2008
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