Individual
DR. SAMIR SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-0175
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-0175
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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