Individual
DR. ALVIE WAFIQ AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W SURA LN, GREENFIELD, WI 53228-3477
(414) 246-6800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
308900-01
NY
208000000X
Pediatrics Physician
Primary
85028
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100305478
—
WI
Enumeration date
04/10/2018
Last updated
03/12/2025
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