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Individual

AYESHA FAROOQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBBS

Contact information

Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-7997
Mailing address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-7997

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
68870
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
68886
MN

Other

Enumeration date
07/29/2016
Last updated
09/18/2023
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