Individual
DR. ZEESHAN A YACOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 250, MILWAUKEE, WI 53215-3678
(414) 649-6732
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 250, MILWAUKEE, WI 53215-3678
(414) 649-6732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74155-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126819
—
WI
Enumeration date
04/01/2019
Last updated
11/23/2022
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