Individual
DR. SYED IMRAN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Mailing address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52291
WI
207R00000X
Internal Medicine Physician
57-011008
OH
208M00000X
Hospitalist Physician
Primary
52291
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000905
—
WI
Enumeration date
05/19/2007
Last updated
05/31/2024
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