Individual
MEHREEN TEIZOON KISAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS, MS
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-6106
(608) 263-7502
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
275307
MA
208600000X
Surgery Physician
73826
WI
2086S0127X
Trauma Surgery Physician
Primary
73826
WI
Other
Enumeration date
06/14/2012
Last updated
02/08/2021
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