Individual
ISAAC B ANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036111711
IL
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
71744
GA
2084N0400X
Neurology Physician
66643
WI
2084N0400X
Neurology Physician
68470
MN
2084N0400X
Neurology Physician
Primary
71744
GA
2084N0400X
Neurology Physician
MD439984
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336112234
—
WI
Enumeration date
02/10/2006
Last updated
12/01/2023
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