Individual
IHTESHAM-UR SYED RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-3621
(989) 839-3894
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036141016
IL
207R00000X
Internal Medicine Physician
252141
MA
2084N0400X
Neurology Physician
4301116556
MI
2084N0400X
Neurology Physician
Primary
76367
WI
Other
Enumeration date
07/23/2012
Last updated
12/10/2021
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