Individual
SAHIBZADA USMAN LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 414, MILWAUKEE, WI 53215-3677
(414) 649-3750
(414) 649-3411
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087574
MI
207RG0100X
Gastroenterology Physician
036133197
IL
207RG0100X
Gastroenterology Physician
Primary
57141
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184841595
—
WI
Enumeration date
04/19/2007
Last updated
04/11/2025
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