Individual
SAMIHA FATAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
555
WI
367H00000X
Anesthesiologist Assistant
AA09
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288924
—
WI
Enumeration date
08/01/2024
Last updated
12/16/2025
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