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Individual

SALAM SYED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 N MAIN ST STE 103, DEFOREST, WI 53532-1163
(414) 873-9800
Mailing address
210 N MAIN ST, STE 102, DEFOREST, WI 53532-1163
(414) 873-9800

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53833
WI
208D00000X
General Practice Physician
53833
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669666731
WI
Enumeration date
08/31/2007
Last updated
12/06/2023
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