Individual
BAHAREH NICOLE ALAVI-DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 436-1359
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036159076
IL
208800000X
Urology Physician
Primary
81284-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245554
—
WI
Enumeration date
04/06/2017
Last updated
12/26/2023
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