Individual
DR. GIANNIS AIMANT MOUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 N 87TH ST, MILWAUKEE, WI 53226-4812
(414) 955-2020
(414) 955-6300
Mailing address
925 N 87TH ST, MILWAUKEE, WI 53226-4812
(414) 955-2020
(414) 955-6300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
83240-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264963
—
WI
Enumeration date
10/11/2019
Last updated
07/18/2024
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