Individual
DR. JAWAIRIA SAHAR K MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 334-5553
(262) 836-7301
Mailing address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 334-5553
(262) 836-7301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
84200
WI
208M00000X
Hospitalist Physician
Primary
84200
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619557170
—
WI
Enumeration date
04/09/2021
Last updated
10/02/2024
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