Individual
DR. MASOUD GANJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7300
(414) 961-3421
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 961-5362
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
46629
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34613900
—
WI
Enumeration date
09/06/2006
Last updated
11/02/2022
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