GHAZAN JALIL MIAN

MILWAUKEE, WI
NPI1639872344
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  85389-20)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-22
Last Update Date2025-05-19
Business Address
GHAZAN JALIL MIAN
2801 W KINNICKINNIC RIVER PKWY STE 250
MILWAUKEE, WI 53215-3678
Phone number: 414-649-6732
Mailing Address
GHAZAN JALIL MIAN
2801 W KINNICKINNIC RIVER PKWY STE 250
MILWAUKEE, WI 53215-3678
Phone number: 414-649-6732