Individual
LOUE N NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 358-5431
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 358-5431
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
70880
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088115
—
WI
Enumeration date
03/25/2015
Last updated
11/22/2021
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