Individual
MR. AIJAZ AHMED NOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 730, MILWAUKEE, WI 53215-3669
(414) 649-7202
(414) 649-5158
Mailing address
2801 W KINNICKINNIC RIVER PKWY, SUITE 730, MILWAUKEE, WI 53215-3669
(414) 649-7202
(414) 649-5158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41404-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110232522
RAILROAD MEDICARE
WI
05
—
33338400
—
WI
01
—
41404-020
LICENSE
WI
Enumeration date
12/05/2005
Last updated
03/07/2023
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