| Ninette A. Nassif,m.d., S.c. | |
|
2300 N Mayfair Rd Suite 755 Wauwatosa WI 53226-1505 | |
| (414) 778-1451 | |
| Not Available |
| Full Name | Ninette A. Nassif,m.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Ninette A Nassif (OWNER) |
| Authorized Official Contact | 4147781451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ninette A. Nassif,m.d., S.c. 2300 N Mayfair Rd Suite 755 Wauwatosa WI 53226-1505 Ph: () - | Ninette A. Nassif,m.d., S.c. 2300 N Mayfair Rd Suite 755 Wauwatosa WI 53226-1505 Ph: (414) 778-1451 |
| NPI Number | 1720249592 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Medicare PECOS PAC ID | 5294808176 |
|---|---|
| Medicare Enrollment ID | O20080725000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720249592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29531 (Wisconsin) | Primary |
| Provider Name | Ninette A Nassif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942269022 PECOS PAC ID: 7214000199 Enrollment ID: I20080725000241 |
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