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Individual

ANUM SAMEERA KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9916 75TH ST UNIT 220, KENOSHA, WI 53142-7583
(800) 767-4411
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
(262) 646-1049

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
67999
MN
2084P0800X
Psychiatry Physician
74957
WI
2084P0804X
Child & Adolescent Psychiatry Physician
67999
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
74957
WI

Other

Enumeration date
04/23/2018
Last updated
05/07/2024
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