NPI 1124182068

Aftab a Ansari, MDSC

Practitioner Orthopaedic Surgery Physician Kenosha, WI

Practice location

Address: 3601 30th Ave #104, Kenosha, WI 53144
Phone: (262) 652-4878
Fax: (262) 652-4974

Registered specialties (5)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 21598 (WI)

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Registry record

NPI: 1124182068
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2006
Record last updated: 17 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.