Individual
YOUSAF AJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 497-4600
Mailing address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 497-4600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
76769-20
WI
2084N0600X
Clinical Neurophysiology Physician
76769-20
WI
Other
Enumeration date
07/19/2017
Last updated
09/28/2022
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