Individual
DR. AZAM AHMED QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 RANDOLPH CT, MANITOWOC, WI 54220-8345
(920) 683-5278
(920) 482-0359
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
100818-875
WI
Other
Enumeration date
06/06/2019
Last updated
08/18/2023
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