Susiani Intan is a Neuro-ophthalmology Physician based in Milwaukee, WI and is specialized in Neuro-ophthalmology. Susiani Intan practices in Milwaukee, WI and has the professional credentials of MD. The NPI Number for Susiani Intan is 1114274529 and holds a License No. MD60712039 (Wisconsin).
The current practice location address for Susiani Intan is 2801 W Kinnickinnic River Pkwy, Milwaukee, WI and can be reached out via phone at 414-385-1922 and via fax at 414-385-1988. You can also correspond with Susiani Intan through the mailing address at 3301 W FOREST HOME AVE, MILWAUKEE, WI - 53215-2843 (mailing address contact number: ).
Identifier | Type | State | Issuer |
---|---|---|---|
G8966408 | 01 | WA | WVH PTAN |
1114274529 | 05 | WA | |
G8966407 | 01 | WA | WVH PTAN |
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