Individual
ALWIN A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
7201 GREEN BAY RD, KENOSHA, WI 53142-3532
(262) 432-2352
(262) 697-5616
Mailing address
1675 N BARKER RD, BROOKFIELD, WI 53045-5200
(414) 755-4898
(262) 754-0067
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6367-33
WI
Other
Enumeration date
06/02/2015
Last updated
01/07/2016
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