Organization
NEDA ESMAILI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEDA ESMAILI MD (PHYSICIAN)
(919) 672-0114
Entity
Organization
Contact information
Practice address
377 WEST RIVERWOODS PARKWAY, SUITE 115, GLENDALE, WI 53212
(414) 271-7200
Mailing address
1626 N PROSPECT AVE, APT 406, MILWAUKEE, WI 53202-2493
(919) 672-0114
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
55316-20
WI
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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