person
Ayaz M Samadani, MD
General Practice Physician in Beaver Dam, Wisconsin
NPI 1811947088

Ayaz M Samadani is a General Practice Physician based in Beaver Dam, WI. Ayaz M Samadani practices in Beaver Dam, WI and has the professional credentials of MD. The NPI Number for Ayaz M Samadani is 1811947088 and holds a License No. 20554-020 (Wisconsin).

The current practice location address for Ayaz M Samadani is 215 Corporate Dr, Beaver Dam, WI and can be reached out via phone at 920-887-7731.

Location: 215 Corporate Dr, Beaver Dam, WI, 53916-3123
person
Provider Profile Details
NPI Number
1811947088
Provider Name
Ayaz M Samadani
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
215 Corporate Dr, Beaver Dam, WI, 53916-3123
Phone Number
920-887-7731
Fax Number
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1001259 01 WI PHYSICIANS PLUS
17209 01 WI DEAN HEALTH INSURANCE
31059600 05 WI
institution
Provider Business Practice Location Address Details
Address
215 Corporate Dr
City
State
Zip
53916-3123
Phone Number
920-887-7731
Fax Number
person
Provider Business Mailing Address Details
Address
215 Corporate Dr
City
State
Zip
53916-3123
Phone Number
920-887-7731
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
20554-020 (Wisconsin)
Definition
Definition to come...
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