Individual
ANEEBA FAROOQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-5000
Mailing address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.074078
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
57.252106
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
84217
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100285038
—
WI
Enumeration date
04/11/2019
Last updated
10/18/2024
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