Individual
DR. SHIZA N KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2851 UNIVERSITY AVENUE, DENTAL DEPT, MILO C. HUEMPFNER VA HEALTH CARE CENTER, GREENBAY, WI 54311
(904) 316-2672
Mailing address
1680 S HURON RD,, UNIT 12, GREENBAY, WI 54311
(904) 316-2672
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019-028827
IL
1223P0300X
Periodontics
08985
IA
Other
Enumeration date
05/29/2008
Last updated
11/12/2014
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