Individual
MEHRAN HEYDARPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19475 W NORTH AVE, BROOKFIELD, WI 53045-4199
(262) 780-0770
Mailing address
PO BOX 1413, BROOKFIELD, WI 53008-1413
(262) 780-0770
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
30408
WI
Other
Enumeration date
12/16/2006
Last updated
07/08/2007
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