Individual
MR. VIVEK NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
4025 N 92ND ST, MILWAUKEE, WI 53222-1613
(414) 358-5431
(414) 358-5421
Mailing address
4025 N 92ND ST, MILWAUKEE, WI 53222-1613
(414) 358-5431
(414) 358-5421
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1343
TX
367H00000X
Anesthesiologist Assistant
Primary
91-017
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275896367
—
WI
Enumeration date
06/22/2012
Last updated
11/22/2021
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