Organization
NORTH SHORE INTERNAL MEDICINE SPECIALIST, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN EDALATPOUR MD (PRESIDENT)
(262) 242-3369
Entity
Organization
Contact information
Practice address
140 S MAIN ST, THIENSVILLE, WI 53092-1956
(262) 242-3369
(262) 242-3219
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
03/03/2008
Last updated
03/14/2008
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