Individual
JAHANGIR A MOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3102 E PARKSIDE BLVD, #7, APPLETON, WI 54915-5607
(262) 538-1406
(262) 538-1406
Mailing address
3102 E PARKSIDE BLVD, #7, APPLETON, WI 54915-5607
(262) 538-1406
(262) 538-1406
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
46733-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34503700
—
WI
Enumeration date
07/12/2006
Last updated
11/14/2010
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