Individual
DR. KAMAL F NASSIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10625 W NORTH AVE STE 200, WAUWATOSA, WI 53226-2315
(414) 258-6880
(414) 258-5686
Mailing address
10625 W NORTH AVE, STE 200, WAUWATOSA, WI 53226-2315
(414) 258-6880
(414) 258-5686
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23169
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30385200
—
WI
Enumeration date
10/10/2005
Last updated
11/27/2023
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