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Individual

TAHSEEN FARAH SIDDIQUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2801 W KK RIVER PKWY STE 770, MILWAUKEE, WI 53215-5213
(414) 649-7202
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15852
WI
363LF0000X
Family Nurse Practitioner
15852-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100297275
WI
Enumeration date
09/07/2024
Last updated
04/03/2025
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