Individual
DR. ANAS KIZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3120 S 27TH ST, MILWAUKEE, WI 53215-4338
(414) 672-8282
(414) 672-8284
Mailing address
335 MAHN COURT, OAK CREEK, WI 53154
(414) 762-2020
(414) 762-2024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.147812
IL
207RN0300X
Nephrology Physician
Primary
1008-320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165136
—
WI
Enumeration date
06/14/2016
Last updated
01/13/2022
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