Individual
DR. ANWAR R ISABELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
818 FOREST LN, WATERFORD, WI 53185-4585
(262) 514-8199
Mailing address
818 FOREST LN, WATERFORD, WI 53185-4585
(262) 514-8199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64946
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457627754
—
WI
Enumeration date
03/30/2012
Last updated
04/22/2024
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