Individual
ALI O ARTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7330 W LAYTON AVE, MILWAUKEE, WI 53220-3849
(414) 817-8896
(414) 817-8940
Mailing address
7330 W LAYTON AVE, MILWAUKEE, WI 53220-3849
(414) 817-8896
(414) 817-8940
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67996-20
WI
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
01064085A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000533634
ANTHEM BXBS
IN
05
—
1538156369
—
WI
05
—
200869370
—
IN
Enumeration date
10/06/2005
Last updated
10/22/2019
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