Individual
OMER AFZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 ANN STREET, WAUKESHA, WI 53188
(262) 542-6179
(262) 542-6182
Mailing address
335 MAHN COURT, OAK CREEK, WI 53154
(414) 762-2020
(414) 762-2024
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
45209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34489700
—
WI
Enumeration date
08/17/2005
Last updated
12/07/2021
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