Individual
DR. ALTAF HUSSAIN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-6920
Mailing address
18270 TAYWOOD CIR, BROOKFIELD, WI 53045-5682
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
82085-875
WI
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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