Individual
MR. OMAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 VALLEY CHILDRENS PL # SC05, MADERA, CA 93636-8761
(559) 353-8700
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC ENDOCRINOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6750
(414) 266-6749
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
48795
WI
2080P0205X
Pediatric Endocrinology Physician
Primary
C51061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568402188
—
CA
05
—
1568402188
—
WI
05
—
34815900
—
WI
Enumeration date
06/08/2006
Last updated
01/28/2021
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