Individual
AMENA NAZEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(812) 450-7338
(812) 450-2193
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01067508A
IN
208M00000X
Hospitalist Physician
01067508A
IN
208M00000X
Hospitalist Physician
Primary
61228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30200608
—
NH
Enumeration date
10/03/2006
Last updated
12/07/2020
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