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1205248804
AYAZ SAMANDANI MD SC
BEAVER DAM, WI
NPI
1205248804
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Entity Type
Organization
Authorized Contact
AYAZ M SAMADANI
Md/Owner
920-887-7731
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2014-05-30
Last Update Date
2014-05-30
Business Address
AYAZ SAMANDANI MD SC
215 CORPORATE DR SUITE H
BEAVER DAM, WI 53916-3123
Phone number: 920-887-7731
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Mailing Address
AYAZ SAMANDANI MD SC
215 CORPORATE DR SUITE H
BEAVER DAM, WI 53916-3123
Phone number: 920-887-7731
Copy
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