Individual
DR. SHAZIA GHOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
25320 75TH ST, SALEM, WI 53168-9684
(262) 843-2336
(262) 843-4004
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67619
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068642
—
WI
Enumeration date
06/11/2014
Last updated
01/05/2026
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