Organization
NORTH SHORE PATHOLOGISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMELLIA ESHOA AFFI MD (PRESIDENT)
(414) 585-1535
Entity
Organization
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1438
(414) 585-6138
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1410
(414) 585-6138
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32895800
—
WI
Enumeration date
11/03/2006
Last updated
03/17/2022
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