Rezwan Islam MD

NPI 1154417145 - Internal Medicine - 207R00000X

NPI Details
NPI 1154417145
Gender Male
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3501 CRANBERRY BLVD
WESTON WI, 54476, US
Phone (715) 847-3017
Fax
Business Location
1000 N OAK AVE
MARSHFIELD WI, 54449-5777, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Wisconsin
License Number 41049
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According to our database, Rezwan Islam MD NPI is 1154417145, taxonomy code is 207R00000X and license number is 41049, license state is located at Wisconsin. Rezwan Islam MD physically located at 3501 Cranberry Blvd, Weston WI, 54476. NPI Number Rezwan Islam MD has the Individual type.

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1154417145 NPI number is provided on an as is basis without warranty of any kind. 1154417145 is maintained by the National Plan & Provider Enumeration System. The contents of Rezwan Islam MD are for informational purposes only.