Individual
DR. MANSOOR MOHAMMAD AMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1716 LAWRENCE DR STE 103, DE PERE, WI 54115-9108
(920) 632-6800
(920) 632-6806
Mailing address
1716 LAWRENCE DR STE 103, DE PERE, WI 54115-9108
(920) 632-6800
(920) 632-6806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
68012-20
WI
207L00000X
Anesthesiology Physician
MD29435
ME
208VP0014X
Interventional Pain Medicine Physician
68012-20
WI
208VP0014X
Interventional Pain Medicine Physician
MD29435
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078413
—
WI
Enumeration date
06/27/2013
Last updated
12/11/2025
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