Whalio Doctors

NPI 1285077404

Omar Dyara

Practitioner Pain Medicine (Anesthesiology) Physician Wauwatosa, WI

Practice location

Address
959 N Mayfair Rd, Wauwatosa, WI 53226-3465
Phone
(414) 955-3955
Mailing address
9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Registered specialties (3)

Pain Medicine (Anesthesiology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 69530 (WI)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 69530 (WI)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 20A15228 (CA)

Registry record

NPI
1285077404
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Apr 2013
Record last updated
7 Aug 2018

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.