Individual
DR. SAMIR SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
74-321
WI
207RP1001X
Pulmonary Disease Physician
Primary
74-321
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649541947
—
WI
Enumeration date
01/18/2012
Last updated
08/05/2022
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